Organization Active NPI

Isaac Beshay M D Inc.

  • Family Medicine Physician
  • Costa Mesa, CA
National Provider Identifier
1346492055
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A89039 Issued in CA
Legal business name
ISAAC BESHAY M D INC.
Practice address
2200 Harbor Blvd
Suite B210
Costa Mesa, CA 92627-2501
Phone
(949) 548-2273
Fax
(949) 548-4504
NPI assigned
Oct 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Isaac Beshay, M.D.NPI 1962434241
Title
President
Phone
(949) 548-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A89039 CA Primary

Addresses

Primary practice location

2200 Harbor Blvd
Suite B210
Costa Mesa, CA 92627-2501

Mailing address

2200 Harbor Blvd
Suite B210
Costa Mesa, CA 92627-2501
Phone (949) 548-2273

Other identifiers 1

IdentifierTypeStateIssuer
0A890390MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081113000296 CA Part B Supplier - Clinic/Group Practice 1355401852 Receives reassigned benefits from 1 practitioner
Practice locations: Costa Mesa, CA; Santa Ana, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1346492055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 HARBOR BLVD",
            "address_2": "SUITE B210",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272501",
            "telephone_number": "949-548-2273",
            "fax_number": "949-548-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HARBOR BLVD",
            "address_2": "SUITE B210",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272501",
            "telephone_number": "949-548-2273",
            "fax_number": "949-548-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAAC BESHAY M D INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "BESHAY",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-548-2273",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A89039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A890390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.