Individual provider Active NPI

William Thomas Vanbeever, D.O.

  • Pediatrics Physician
  • Clovis, CA
National Provider Identifier
1487982096
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20A11029 Issued in CA
Practice address
275 West Herndon Ave
Clovis, CA 93612-1353
Phone
(559) 324-6203
Fax
(559) 324-6282
NPI assigned
Nov 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 20A11029 CA Primary

Addresses

Primary practice location

275 West Herndon Ave
Clovis, CA 93612-1353

Mailing address

PO Box 28949
Fresno, CA 93729-8949
Phone (559) 228-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110831000213 CA Practitioner - Pediatric Medicine 1557531563 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A11029CAMDPediatrics Physician
11029CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Partners CurrentSince Feb 11, 2022 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

585 N Halifax Ave
Clovis, CA 93611
Phone (559) 603-7415

585 N Halifax Ave
Ste 102
Clovis, CA 93611
Phone (559) 603-7400

785 N Medical Center Dr W
Ste 203
Clovis, CA 93611
Phone (559) 387-1900

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1487982096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28949",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937298949",
            "telephone_number": "559-228-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 WEST HERNDON AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121353",
            "telephone_number": "559-324-6203",
            "fax_number": "559-324-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBEEVER",
        "first_name": "WILLIAM",
        "middle_name": "THOMAS",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-20",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A11029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.