Forrest O Beaty, MD

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

A024751 Issued in CA

Practice address

6015 Anderson Rd
Forestville, CA 95436-9629

Phone

(707) 887-7597

Fax

(707) 887-7669

NPI assigned

Apr 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417070707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1427",
            "city": "FORESTVILLE",
            "state": "CA",
            "postal_code": "954361427",
            "telephone_number": "707-887-7597",
            "fax_number": "707-887-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 ANDERSON RD",
            "city": "FORESTVILLE",
            "state": "CA",
            "postal_code": "954369629",
            "telephone_number": "707-887-7597",
            "fax_number": "707-887-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATY",
        "first_name": "FORREST",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A024751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A247511",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Anne Eaugallie, R.N., I.B.C.L.C.
• Ecosky Farms LLC
• El Molino Pharmacy LLC (El Molino Pharmacy)
• Empire Drug Company Inc (Forestville Pharmacy)
• Empire Drug Company Inc. (Forestville Pharmacy)

• Hospice and Palliative Medicine (Family Medicine) Physician in Forestville, CA
• Providers in Forestville, CA by specialty
• Hospice and Palliative Medicine (Family 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.