Active NPI
Richard Gregory Beam, L,M,T
- Massage Therapist
- Temecula, CA
National Provider Identifier
1679909758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 36610
- Practice address
- 44876 Marge PL
Temecula, CA 92592-1405 - Phone
- (951) 972-2058
- NPI assigned
- Sep 19, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 36610 | CA | Primary |
Addresses
Primary practice location
44876 Marge PL
Temecula, CA 92592-1405
Mailing address
44876 Marge PL
Temecula, CA 92592-1405
Phone (951) 972-2058
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36610 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1679909758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44876 MARGE PL",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925921405",
"telephone_number": "951-972-2058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44876 MARGE PL",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925921405",
"telephone_number": "951-972-2058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAM",
"first_name": "RICHARD",
"middle_name": "GREGORY",
"credential": "L,M,T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-19",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "36610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.