Active NPI
Jordan L Beshore, D.O.
- Emergency Medicine Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 20A14377
- Practice address
- 2823 Fresno St
Fresno, CA 93721-1324 - Phone
- (559) 499-6440
- NPI assigned
- May 6, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 20A14377 | CA | Primary |
Addresses
Primary practice location
2823 Fresno St
Fresno, CA 93721-1324
Mailing address
2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170823001764 | CA | Practitioner - Emergency Medicine | 3274805460 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central California Faculty Medical Group IncPermanente Medical Group Inc
Practice addresses (Care Compare)
2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000
7300 N Fresno St
Fresno, CA 93720-2941
Phone (559) 448-4500
Hospital & facility affiliations
- Community Regional Medical Center
- Kaiser Foundation Hospital - Fresno
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 76.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A14377 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Central California Faculty Medical Group, Inc. | Current | Accepting new patients | |
| University Faculty Associates, Inc. | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| University Faculty Associates, Inc. | Emergency Medicine | Current | Accepting new patients |
| Central California Faculty Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| United Health Centers of the San Joaquin Valley | Past | Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200
2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545
290 N Wayte Ln
Ste 1800
Fresno, CA 93701
1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
7300 N Fresno St
Fresno, CA 93720
Phone (207) 448-4500
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Fresno, CA
- NPI 1457603573
CA, Emergency Medicine
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
CA, Emergency Medicine
-
- Internal Medicine Physician
- Clovis, CA
- NPI 1992742852
-
- Clinical Medical Laboratory
- Berkeley, CA
- NPI 1083777163
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Emergency Medicine Physician
- Fresno, CA
- NPI 1235537283
Emergency Medicine
-
- Federally Qualified Health Center (FQHC)
- Huron, CA
- NPI 1134101686
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1710397294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 E DIVISADERO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211431",
"telephone_number": "559-443-2682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2823 FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211324",
"telephone_number": "559-499-6440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESHORE",
"first_name": "JORDAN",
"middle_name": "L",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-06",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "20A14377",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "7300 N Fresno St",
"city": "Fresno",
"state": "CA",
"country_code": "US",
"postal_code": "937202941",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.