Active NPI
Tana Beck, PA-C
- Physician Assistant
- Los Angeles, CA
National Provider Identifier
1467428359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA20068
- Practice address
- 7515 De Longpre Ave Apt 7
Los Angeles, CA 90046-8501 - Phone
- (248) 379-2011
- NPI assigned
- Feb 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601004053 | MI | |
| Physician Assistant | 363A00000X | PA20068 | CA | Primary |
Addresses
Primary practice location
7515 De Longpre Ave Apt 7
Los Angeles, CA 90046-8501
Mailing address
7515 De Longpre Ave Apt 7
Los Angeles, CA 90046-8501
Phone (248) 379-2011
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA20068 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245888000000",
"number": "1467428359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7515 DE LONGPRE AVE APT 7",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900468501",
"telephone_number": "248-379-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7515 DE LONGPRE AVE APT 7",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900468501",
"telephone_number": "248-379-2011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "TANA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2009-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601004053",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA20068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.