Organization Active NPI

Irene Beissner MD Inc

  • Gynecology Physician
  • Benicia, CA
National Provider Identifier
1487885075
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
C42256 Issued in CA
Legal business name
IRENE BEISSNER MD INC
Practice address
1100 Rose Dr
Benicia, CA 94510-3623
Phone
(707) 745-1720
Fax
(707) 745-1902
NPI assigned
Jul 31, 2009
Last updated
Jul 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Authorized official

Name
Dr. Irene Beissner, M.D.
Title
President of Corporation
Phone
(707) 864-5556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X C42256 CA Primary

Addresses

Primary practice location

1100 Rose Dr
Benicia, CA 94510-3623

Mailing address

1514 Rockville Rd
Fairfield, CA 94534-1330
Phone (707) 864-5556

Other identifiers 1

IdentifierTypeStateIssuer
23230OtherCAAMERICAN COLLEGE OF OB/GYN

National Provider Directory

National Provider Directory

Locations

1100 Rose Dr
Benicia, CA 94510
Phone (707) 745-1720

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1487885075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 ROCKVILLE RD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341330",
            "telephone_number": "707-864-5556",
            "fax_number": "707-745-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ROSE DR",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103623",
            "telephone_number": "707-745-1720",
            "fax_number": "707-745-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE BEISSNER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "BEISSNER",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "707-864-5556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "C42256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN COLLEGE OF OB/GYN",
            "identifier": "23230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benicia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.