Active NPI
Freddie Yamel Rodriguez Beato
- Student in an Organized Health Care Education/Training Program
- Sacramento, CA
National Provider Identifier
1386167468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 4860 Y St Ste 3740
Sacramento, CA 95817-2307 - Phone
- (916) 734-6285
- NPI assigned
- Jul 20, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
4860 Y St Ste 3740
Sacramento, CA 95817-2307
Mailing address
4860 Y St Ste 3740
Sacramento, CA 95817-2307
Other practice location 1
4K18 Calle 209
Trujillo Alto, PR 00976-8248
Phone (787) 565-2848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZUA0012345874705 | Other | TRIPLE S |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1386167468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4860 Y ST STE 3740",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4860 Y ST STE 3740",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172307",
"telephone_number": "916-734-6285"
}
],
"practiceLocations": [
{
"address_1": "4K18 Calle 209",
"address_purpose": "LOCATION",
"city": "Trujillo Alto",
"state": "PR",
"postal_code": "009768248",
"country_code": "US",
"telephone_number": "787-565-2848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ BEATO",
"first_name": "FREDDIE",
"middle_name": "YAMEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-20",
"last_updated": "2022-07-21",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "ZUA0012345874705",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.