Individual provider Active NPI

Talal Beydoun, MD

  • Diagnostic Radiology Physician
  • Mission Viejo, CA
National Provider Identifier
1396751384
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A30556 Issued in CA
Practice address
27401 Los Altos
Suite 150
Mission Viejo, CA 92691
Phone
(949) 367-1010
Fax
(949) 367-1011
NPI assigned
Jul 31, 2006
Last updated
Jul 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X A30556 CA
Diagnostic Radiology Physician 2085R0202X A30556 CA Primary

Addresses

Primary practice location

27401 Los Altos
Suite 150
Mission Viejo, CA 92691

Mailing address

27401 Los Altos
Ste 150
Mission Viejo, CA 92691-8013
Phone (949) 367-1010

Other practice location 1

4501 Birch St Unit C
Newport Beach, CA 92660-1990
Phone (949) 387-0591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101130000480 CA Practitioner - Diagnostic Radiology 6103714696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

27401 Los Altos
Suite 150
Mission Viejo, CA 92691-8013
Phone (949) 367-1010

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A30556CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atiya Care LLC Current Accepting new patients
Crown Valley Radiologist Current Accepting new patients
Crown Valley Radiologists Inc a Professional Medical Corp Neuroradiology CurrentSince Aug 27, 2001 Accepting new patients

Locations

27401 Los Altos
Ste 150
Mission Viejo, CA 92691
Phone (949) 209-9008

27401 Los Altos
Ste 180
Mission Viejo, CA 92691
Phone (949) 582-9624

4501 Birch St
Unit C
Newport Beach, CA 92660
Phone (949) 367-1010

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1396751384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27401 LOS ALTOS",
            "address_2": "STE 150",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918013",
            "telephone_number": "949-367-1010",
            "fax_number": "949-367-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27401 LOS ALTOS",
            "address_2": "SUITE 150",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-367-1010",
            "fax_number": "949-367-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 Birch St Unit C",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926601990",
            "country_code": "US",
            "telephone_number": "949-387-0591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEYDOUN",
        "first_name": "TALAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A30556",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A30556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.