Beemans Boutique LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BEEMANS BOUTIQUE LLC

Practice address

355 E 21St St Ste J
San Bernardino, CA 92404-4851

Phone

(909) 882-0193

Fax

(909) 883-4834

NPI assigned

Jan 5, 2024

Last updated

Jul 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gina M Beeman

Title

Managing Member

Phone

(909) 882-0193

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Beemans Boutique2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Beeman's Boutique LLC

  • Durable Medical Equipment & Medical Supplies
  • San Bernardino, CA
  • NPI 1730126608
  NPD tax ID

Locations

Practitioners 3

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.

• Mona Lee Kindhart, C70772

  • Durable Medical Equipment & Medical Supplies
  • San Bernardino, CA
  • NPI 1790510394
  NPD
• Eloise Catherine Thacker, C70773

  • Durable Medical Equipment & Medical Supplies
  • San Bernardino, CA
  • NPI 1730914458
  NPD
• Jo Evelyn Flanagan

  • Durable Medical Equipment & Medical Supplies
  • San Bernardino, CA
  • NPI 1376541037
  NPD (past)

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1518737006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E 21ST ST STE J",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044851",
            "telephone_number": "909-882-0193",
            "fax_number": "909-883-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E 21ST ST STE J",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044851",
            "telephone_number": "909-882-0193",
            "fax_number": "909-883-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEEMANS BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-07-31",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "BEEMAN",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "909-882-0193"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bedside Medical Inc
• Elizabeth Anne Beebee, AMFT #148951
• Melissa Beebee
• Robert Edward Beeman
• Beeman's Boutique LLC
• Shameela Begum, M.D.
• Alyce O Belford, PH.D,, M.A., RAS
• Alexander Belko, DPT
• Ayoka Kalonji Bell, PSY.D.
• Latonya Deonne Bell, AMFT

• Prosthetic/Orthotic Supplier in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.