Beachside Nursing, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BEACHSIDE NURSING, INC

Practice address

27401 Los Altos
Suite 310
Mission Viejo, CA 92691-6316

Phone

(949) 441-0023

NPI assigned

Oct 12, 2016

Last updated

Oct 31, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patricia ChavezNPI 1275766487

Title

Registered Nurse Practitioner

Phone

(949) 441-0023

Specialties & licenses 1

Addresses

Other names 1

• Patricia Chavez, NP Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Chavez

  • Psychiatric/Mental Health Nurse Practitioner
  • Mission Viejo, CA
  • NPI 1275766487
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1336699495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27401 LOS ALTOS",
            "address_2": "SUITE 310",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27401 LOS ALTOS",
            "address_2": "SUITE 310",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916316",
            "telephone_number": "949-441-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHSIDE NURSING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "REGISTERED NURSE PRACTITIONER",
        "authorized_official_telephone_number": "949-441-0023"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patricia Chavez, NP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tricia David Bato, D.D.S.
• Donna Bautista, D.D.S.
• Jihad Naim Bayaa, PHARMACIST
• Luz Patricia Bayer, MFT
• BC Acutis Inc. (Caremarque)
• Beachside Recovery Center LLC
• Christopher Beatie, MD
• Adrienne L Beattie, MFT
• Paula Bechky-Kowarsky
• Shelby Beeman

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.