Beach Medical Group Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

BEACH MEDICAL GROUP INC

Doing business as

Bech Medical Assoc. Inc

Practice address

5318 E 2ND St Ste 100
Long Beach, CA 90803-5324

Phone

(562) 426-6755

Fax

(562) 492-9617

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Russell Sarreal, M.D.

Title

Neurologist

Phone

(562) 426-6755

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• BECH MEDICAL ASSOC. INC Doing business as

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/medflow_beacheye

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1558558189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 E 2ND ST",
            "address_2": "STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065354",
            "telephone_number": "562-426-6755",
            "fax_number": "562-492-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 E 2ND ST STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035324",
            "telephone_number": "562-426-6755",
            "fax_number": "562-492-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "SARREAL",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "562-426-6755",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BECH MEDICAL ASSOC. INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Krystal Dawn Beachler

• Neurology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.