Individual provider Active NPI

Gay M Beseth, NP

  • Nurse Practitioner
  • Upland, CA
National Provider Identifier
1346398286
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP10839 Issued in CA
Practice address
510 N 13TH Ave
Suite 204
Upland, CA 91786-4965
Phone
(909) 920-0525
Fax
(909) 920-0526
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP10839 CA Primary

Addresses

Primary practice location

510 N 13TH Ave
Suite 204
Upland, CA 91786-4965

Mailing address

510 N 13TH Ave
Suite 204
Upland, CA 91786-4965
Phone (909) 920-0525

Other identifiers 1

IdentifierTypeStateIssuer
1346398286OtherCAUPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP10839CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Regional Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gay.beseth@drbeseth.cernerdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1346398286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N 13TH AVE",
            "address_2": "SUITE 204",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864965",
            "telephone_number": "909-920-0525",
            "fax_number": "909-920-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N 13TH AVE",
            "address_2": "SUITE 204",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864965",
            "telephone_number": "909-920-0525",
            "fax_number": "909-920-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESETH",
        "first_name": "GAY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP10839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "1346398286",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.