NPIMap

Organization Active NPI

Carson McBeath & Boswell Inc.

  • Ophthalmology Physician
  • Long Beach, CA
National Provider Identifier
1710970728
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CARSON MCBEATH & BOSWELL INC.
Practice address
4300 Long Beach Blvd
Ste 300
Long Beach, CA 90807-2011
Phone
(562) 984-7024
Fax
(562) 428-7394
NPI assigned
Aug 24, 2005
Last updated
Jan 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Stanley Carson, MD
Title
President
Phone
(562) 984-7024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

4300 Long Beach Blvd
Ste 300
Long Beach, CA 90807-2011

Mailing address

4300 Long Beach Blvd
Ste 300
Long Beach, CA 90807-2011
Phone (562) 984-7024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060831000236 CA Part B Supplier - Clinic/Group Practice 1153325394 Receives reassigned benefits from 9 practitioners
Practice locations: Huntington Beach, CA; Long Beach, CA; Newport Beach, CA; Torrance, CA

National Provider Directory

National Provider Directory
Tax ID family
Carson McBeath Boswell Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7677 Center Ave
Ste 302
Huntington Beach, CA 92647
Phone (562) 984-7024

7677 Center Ave
Ste 310
Huntington Beach, CA 92647
Phone (669) 295-0501

4300 Long Beach Blvd
Ste 300
Long Beach, CA 90807
Phone (562) 984-7024

2601 Airport Dr
Ste 135
Torrance, CA 90505
Phone (424) 201-1600

2601 Airport Dr
Ste 209
Torrance, CA 90505

2601 Airport Dr
Ste 310
Torrance, CA 90505

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

  • Direct secure messaging: bnorman@southcoastretina.intellechartdirect.net
  • Direct secure messaging: yhan@southcoastretina.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1710970728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 LONG BEACH BLVD",
            "address_2": "STE 300",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072011",
            "telephone_number": "562-984-7024",
            "fax_number": "562-428-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LONG BEACH BLVD",
            "address_2": "STE 300",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072011",
            "telephone_number": "562-984-7024",
            "fax_number": "562-428-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON MCBEATH & BOSWELL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-984-7024",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.