Individual provider Active NPI

Jacob Samuel Beamesderfer, HIS

  • Hearing Instrument Specialist
  • Hemet, CA
National Provider Identifier
1548414378
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA7424 Issued in CA
Practice address
2143 W Florida Ave
Hemet, CA 92545-3601
Phone
(951) 592-8995
Fax
(951) 592-8955
NPI assigned
Nov 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA7424 CA Primary

Addresses

Primary practice location

2143 W Florida Ave
Hemet, CA 92545-3601

Mailing address

2143 W Florida Ave
Hemet, CA 92545-3601
Phone (951) 592-8995

Other identifiers 1

IdentifierTypeStateIssuer
27-3716562MedicaidCA

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

State licenses

LicenseStateTypeSpecialty
HA7424CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Friendly Ears LLC Hearing Instrument Specialist CurrentSince Oct 21, 2025 Accepting new patients
Serendipity Hearing Inc Hearing Instrument Specialist Past Accepting new patients

Locations

2143 W Florida Ave
Hemet, CA 92545
Phone (951) 592-8995

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": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1548414378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925453601",
            "telephone_number": "951-592-8995",
            "fax_number": "951-592-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925453601",
            "telephone_number": "951-592-8995",
            "fax_number": "951-592-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAMESDERFER",
        "first_name": "JACOB",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-06",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA7424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27-3716562",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.