Mary Beasley, L.V.N.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

VN120314 Issued in CA

Practice address

1356 S Van Ness Ave
Apt. 101
San Francisco, CA 94110-4092

Phone

(415) 346-2914

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346388642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 S VAN NESS AVE",
            "address_2": "APT. 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104092",
            "telephone_number": "415-346-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 S VAN NESS AVE",
            "address_2": "APT. 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104092",
            "telephone_number": "415-346-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "MARY",
        "credential": "L.V.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "VN120314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rio Owen Beardsley, MD
• Sage Bearman, CNM, WHNP
• Bernadette Beary, OTR
• Anthony Grant Beasley Sr.
• Cortney R Beasley, PSYD
• Pushpinder Singh Beasley, PA-C
• Xaviour Beasley
• Yolanda Beasley
• Angel Beato, MSW
• Douglas Beaton

• Adult Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.