Beeman'S Boutique LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BEEMAN'S BOUTIQUE LLC

Practice address

355 E 21St Street, Suite J,
San Bernardino, CA 92404-4851

Phone

(909) 882-0193

Fax

(909) 883-4834

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Gina Michell Beeman

Title

Owner

Phone

(909) 882-0193

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Beemans Boutique2 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.

• Beemans Boutique LLC

  • Prosthetic/Orthotic Supplier
  • San Bernardino, CA
  • NPI 1518737006
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mona Lee Kindhart, C70772

  • Durable Medical Equipment & Medical Supplies
  • San Bernardino, CA
  • NPI 1790510394
  NPD
• Eloise Catherine Thacker, C70773

  • Durable Medical Equipment & Medical Supplies
  • San Bernardino, CA
  • NPI 1730914458
  NPD
• Jo Evelyn Flanagan

  • Durable Medical Equipment & Medical Supplies
  • San Bernardino, CA
  • NPI 1376541037
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1730126608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E 21ST STREET, SUITE J,",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044851",
            "telephone_number": "909-882-0193",
            "fax_number": "909-883-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E 21ST STREET, SUITE J,",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044851",
            "telephone_number": "909-882-0193",
            "fax_number": "909-883-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEEMAN'S BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "BEEMAN",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MICHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-882-0193",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Nicole Bedford, RN
• Bedside Medical Inc
• Elizabeth Anne Beebee, AMFT #148951
• Melissa Beebee
• Robert Edward Beeman
• Beemans Boutique LLC
• Shameela Begum, M.D.
• Alyce O Belford, PH.D,, M.A., RAS
• Alexander Belko, DPT
• Ayoka Kalonji Bell, PSY.D.

• Durable Medical Equipment & Medical Supplies in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.