Organization Active NPI

J Ronald Bean Medical Corporation

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1578638185
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A201230 Issued in CA
Legal business name
J RONALD BEAN MEDICAL CORPORATION
Practice address
4333 California Street
San Francisco, CA 94118-1376
Phone
(415) 923-0400
Fax
(415) 666-3176
NPI assigned
Nov 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Ronald Bean, MD
Title
President J Ronald Bean Med Corp
Phone
(415) 923-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A201230 CA Primary

Addresses

Primary practice location

4333 California Street
San Francisco, CA 94118-1376

Mailing address

PO Box # 597004
PMB# 736
San Francisco, CA 94159-7004
Phone (415) 923-0400

Other identifiers 1

IdentifierTypeStateIssuer
00A201230OtherCABL SHIELD CALIFORNIA

National Provider Directory

National Provider Directory

Locations

4333 California St
San Francisco, CA 94118
Phone (415) 752-8022

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578638185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX # 597004",
            "address_2": "PMB# 736",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941597004",
            "telephone_number": "415-923-0400",
            "fax_number": "415-666-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 CALIFORNIA STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181376",
            "telephone_number": "415-923-0400",
            "fax_number": "415-666-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J RONALD BEAN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT J RONALD BEAN MED CORP",
        "authorized_official_telephone_number": "415-923-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A201230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BL SHIELD CALIFORNIA",
            "identifier": "00A201230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.