Individual provider Active NPI

Pamela Faye Besaw, RN, PHN

  • Community Health Registered Nurse
  • Oceanside, CA
National Provider Identifier
1518090455
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
508336 Issued in CA
Practice address
104 Barnes St
Oceanside, CA 92054-3406
Phone
(760) 967-4531
Fax
(760) 967-4644
NPI assigned
Mar 13, 2007
Last updated
May 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 508336 CA Primary

Addresses

Primary practice location

104 Barnes St
Oceanside, CA 92054-3406

Mailing address

25205 Poderio Dr
Ramona, CA 92065-4713
Phone (760) 789-8104

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
508336CAMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1518090455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25205 PODERIO DR",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920654713",
            "telephone_number": "760-789-8104",
            "fax_number": "619-401-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BARNES ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920543406",
            "telephone_number": "760-967-4531",
            "fax_number": "760-967-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESAW",
        "first_name": "PAMELA",
        "middle_name": "FAYE",
        "name_prefix": "Ms.",
        "credential": "RN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "508336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.