Individual provider Active NPI

Mark Paul Beseda, PHARMACIST

  • Pharmacist
  • Stockton, CA
National Provider Identifier
1417933466
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
33386 Issued in CA
Practice address
3233 W Hammer LN
Stockton, CA 95209-2751
Phone
(209) 952-1212
Fax
(209) 952-1232
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 33386 CA Primary

Addresses

Primary practice location

3233 W Hammer LN
Stockton, CA 95209-2751

Mailing address

3025 Old Ranch Cir
Stockton, CA 95209-4841
Phone (209) 477-7262

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

State licenses

LicenseStateTypeSpecialty
33386CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417933466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 OLD RANCH CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952094841",
            "telephone_number": "209-477-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 W HAMMER LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952092751",
            "telephone_number": "209-952-1212",
            "fax_number": "209-952-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESEDA",
        "first_name": "MARK",
        "middle_name": "PAUL",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "33386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.