Active NPI
John Eliott Beebe III, M.D.
- Psychiatry Physician
- San Francisco, CA
National Provider Identifier
1427359298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A-23072
- Practice address
- 337 Spruce St
San Francisco, CA 94118-1883 - Phone
- (415) 221-2266
- Fax
- (415) 387-5915
- NPI assigned
- Nov 10, 2010
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A-23072 | CA | Primary |
Addresses
Primary practice location
337 Spruce St
San Francisco, CA 94118-1883
Mailing address
337 Spruce St
San Francisco, CA 94118-1883
Phone (415) 221-2266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A230720 | Other | CA | CALIFORNIA BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 7, 2013 through Jun 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-23072 | CA | MD | Psychiatry Physician |
| 23072 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1427359298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 SPRUCE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181883",
"telephone_number": "415-221-2266",
"fax_number": "415-387-5915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 SPRUCE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181883",
"telephone_number": "415-221-2266",
"fax_number": "415-387-5915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEEBE",
"first_name": "JOHN",
"middle_name": "ELIOTT",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-10",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A-23072",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BLUE SHIELD",
"identifier": "00A230720",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.