Organization Active NPI

Jay M Beams MD Inc

  • Family Medicine Physician
  • Susanville, CA
National Provider Identifier
1467702688
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G15667 Issued in CA
Legal business name
JAY M BEAMS MD INC
Practice address
701 Nevada St
Susanville, CA 96130-3912
Phone
(530) 257-4137
Fax
(530) 257-4005
NPI assigned
Sep 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Dr. Jay Milton Beams, M.D.
Title
President
Phone
(530) 257-4137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G15667 CA Primary

Addresses

Primary practice location

701 Nevada St
Susanville, CA 96130-3912

Mailing address

PO Box 29
Susanville, CA 96130-0029
Phone (530) 257-4137

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1467702688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961300029",
            "telephone_number": "530-257-4137",
            "fax_number": "530-257-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NEVADA ST",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961303912",
            "telephone_number": "530-257-4137",
            "fax_number": "530-257-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY M BEAMS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "BEAMS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-257-4137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G15667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Susanville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.