NPIMap

Individual provider Active NPI

Alison J. Bevan, M.D.

  • Diagnostic Radiology Physician
  • Cameron Park, CA
National Provider Identifier
1740218064
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A66187 Issued in CA
Practice address
3581 Palmer Dr
Suite 303
Cameron Park, CA 95682-8236
Phone
(530) 672-1351
Fax
(530) 672-1385
NPI assigned
Jun 28, 2006
Last updated
Mar 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A66187 CA Primary

Addresses

Primary practice location

3581 Palmer Dr
Suite 303
Cameron Park, CA 95682-8236

Mailing address

1500 Expo Pkwy
Sacramento, CA 95815-4227
Phone (916) 646-8300

Other identifiers 1

IdentifierTypeStateIssuer
00A661870MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080214000475 CA Practitioner - Radiation Oncology 5890878722 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Stanford University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

618 5TH St
Marysville, CA 95901-5612
Phone (530) 749-4400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A66187CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Oct 1, 2020 Accepting new patients
Northbay Healthcare Group CurrentSince Apr 1, 2020 Accepting new patients
Northbay Healthcare Group CurrentSince Apr 1, 2020 Accepting new patients
Northbay Healthcare Group Current Accepting new patients
Regents of the University of California CurrentSince Oct 1, 2020 Accepting new patients
Essent PRMC LP Past Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
UCSF Department of Laboratory Medicine Past Accepting new patients
Placerville Radiology Medical Group Inc Diagnostic Radiology Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

618 5th St
Marysville, CA 95901
Phone (530) 749-4400

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

1020 Nut Tree Rd
Ste 190
Vacaville, CA 95687
Phone (707) 624-8100

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1740218064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 EXPO PKWY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154227",
            "telephone_number": "916-646-8300",
            "fax_number": "916-920-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 PALMER DR",
            "address_2": "SUITE 303",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828236",
            "telephone_number": "530-672-1351",
            "fax_number": "530-672-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVAN",
        "first_name": "ALISON",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A66187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A661870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron Park, CA

Sources for this page

Verify at the official NPI Registry.