Active NPI
Latanya Marvel Beamon, CRT
- Radiography Radiologic Technologist
- Fresno, CA
National Provider Identifier
1790377299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiography Radiologic Technologist
- License
- RHM00078473
- Practice address
- 263 W Almy Ave
Fresno, CA 93706-5603 - Phone
- (559) 721-8746
- NPI assigned
- Feb 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mammography Radiologic Technologist | 2471M2300X | RHM00078473 | CA | |
| Radiography Radiologic Technologist | 2471C3402X | RHM00078473 | CA | Primary |
Addresses
Primary practice location
263 W Almy Ave
Fresno, CA 93706-5603
Mailing address
263 W Almy Ave
Fresno, CA 93706-5603
Phone (559) 721-8746
Other names 1
- Latanya Marvel Brown
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 192.168.43.165 | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RHM00078473 | CA | MD | Radiography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1790377299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 W ALMY AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937065603",
"telephone_number": "559-721-8746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 W ALMY AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937065603",
"telephone_number": "559-721-8746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAMON",
"first_name": "LATANYA",
"middle_name": "MARVEL",
"credential": "CRT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-05",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2471M2300X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Mammography",
"state": "CA",
"license": "RHM00078473",
"primary": false
},
{
"code": "2471C3402X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Radiography",
"state": "CA",
"license": "RHM00078473",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "192.168.43.165",
"affiliation": "N",
"endpointDescription": "IPv4",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "263 W Almy Ave",
"city": "Fresno",
"state": "CA",
"country_code": "US",
"postal_code": "937065603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LATANYA",
"last_name": "BROWN",
"middle_name": "MARVEL",
"credential": "CRT",
"code": "1",
"type": "Former Name"
}
]
}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 Feb 5, 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.