Active NPI
Donald B. Beamon, M.D.
- Diagnostic Radiology Physician
- Long Beach, CA
National Provider Identifier
1700996915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G 17112
- Practice address
- 5901 E 7TH St # 114
Long Beach, CA 90822-5201 - Phone
- (888) 771-8387
- Fax
- (562) 826-5425
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Internal Medicine Physician | 207RM1200X | G 17112 | CA | |
| Body Imaging Physician | 2085B0100X | G 17112 | CA | |
| Neuroradiology Physician | 2085N0700X | G17112 | CA | |
| Nuclear Radiology Physician | 2085N0904X | G 17112 | CA | |
| Pediatric Radiology Physician | 2085P0229X | G 17112 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | G 17112 | CA | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | G 17112 | CA | |
| Diagnostic Ultrasound Physician | 2085U0001X | G 17112 | CA |
Addresses
Primary practice location
5901 E 7TH St # 114
Long Beach, CA 90822-5201
Mailing address
5901 E 7TH St # 114
Long Beach, CA 90822-5201
Phone (888) 771-8387
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G17112 | CA | MD | Neuroradiology Physician |
| G 17112 | CA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1700996915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 E 7TH ST # 114",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908225201",
"telephone_number": "888-771-8387",
"fax_number": "562-826-5425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 E 7TH ST # 114",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908225201",
"telephone_number": "888-771-8387",
"fax_number": "562-826-5425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAMON",
"first_name": "DONALD",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RM1200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
"state": "CA",
"license": "G 17112",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "CA",
"license": "G 17112",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "CA",
"license": "G17112",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "CA",
"license": "G 17112",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "CA",
"license": "G 17112",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G 17112",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "G 17112",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CA",
"license": "G 17112",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.