NPIMap

Individual provider Active NPI

Roberto Angel Beaton, M.D.

  • Internal Medicine Physician
  • Burbank, CA
National Provider Identifier
1669550885
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G45244 Issued in CA
Practice address
4314 W Victory Blvd
Burbank, CA 91505-1334
Phone
(818) 843-6611
Fax
(818) 843-6656
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G45244 CA Primary

Addresses

Primary practice location

4314 W Victory Blvd
Burbank, CA 91505-1334

Mailing address

4314 W Victory Blvd
Burbank, CA 91505-1334
Phone (818) 843-6611

Other identifiers 2

IdentifierTypeStateIssuer
00G452440MedicaidCA
G45244OtherCACA STATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100330000308 CA Practitioner - Internal Medicine 2668521394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Francisco School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Roberto a Beaton M D IncGroup PAC ID 1052342656, 2 clinicians

Practice addresses (Care Compare)

4314 W Victory Blvd
Burbank, CA 91505-1334
Phone (818) 843-6611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G45244CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roberto a. Beaton, M.D., Inc. Internal Medicine CurrentSince Jan 1, 1973 Accepting new patients

Locations

4314 W Victory Blvd
Burbank, CA 91505
Phone (818) 843-6611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rockport Healthcare ServicesNorth Hollywood, CA, CCN 055932 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 5, 1984
Jan 5, 1984

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1669550885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 W VICTORY BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051334",
            "telephone_number": "818-843-6611",
            "fax_number": "818-843-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 W VICTORY BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051334",
            "telephone_number": "818-843-6611",
            "fax_number": "818-843-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATON",
        "first_name": "ROBERTO",
        "middle_name": "ANGEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G45244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G452440",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE NUMBER",
            "identifier": "G45244",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.