NPIMap

Organization Active NPI

Elizabeth C. Beal, D.O., a Professional Medical Corporation

Doing business as Open Minded Osteopathy

  • Clinic/Center
  • Templeton, CA
National Provider Identifier
1780232850
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ELIZABETH C. BEAL, D.O., A PROFESSIONAL MEDICAL CORPORATION
Practice address
200 S Main St Ste D
Templeton, CA 93465-9366
Phone
(805) 670-2180
Fax
(805) 273-0298
NPI assigned
Aug 30, 2019
Last updated
Jul 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Elizabeth Claudia Hopkirk Beal, DONPI 1548540933
Title
President, Medical Director
Phone
(510) 529-5825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

200 S Main St Ste D
Templeton, CA 93465-9366

Mailing address

200 S Main St Ste D
Templeton, CA 93465-9366
Phone (805) 670-2180

Other identifiers 2

IdentifierTypeStateIssuer
748145OtherCAANTHEM
77631OtherCAKAREO EHR

Other names 1

  • Open Minded Osteopathy Other name

National Provider Directory

National Provider Directory

Locations

200 S Main St
Ste D
Templeton, CA 93465
Phone (805) 434-3586

Practitioners & affiliated clinicians

Practitioners 2

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": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1780232850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST STE D",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659366",
            "telephone_number": "805-670-2180",
            "fax_number": "805-273-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST STE D",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659366",
            "telephone_number": "805-670-2180",
            "fax_number": "805-273-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH C. BEAL, D.O., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "CLAUDIA HOPKIRK",
        "authorized_official_title_or_position": "PRESIDENT, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "510-529-5825",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "748145",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAREO EHR",
            "identifier": "77631",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Minded Osteopathy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Open Minded Osteopathy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Templeton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.