Active NPI
Peter Paul Beltran
- Pharmacy Technician
- San Diego, CA
National Provider Identifier
1801391560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 164083
- Practice address
- 8890 Cassioepia Way
San Diego, CA 92126-1465 - Phone
- (858) 357-4262
- NPI assigned
- Mar 26, 2018
- Last updated
- Mar 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 164083 | CA | Primary |
Addresses
Primary practice location
8890 Cassioepia Way
San Diego, CA 92126-1465
Mailing address
8890 Cassioepia Way
San Diego, CA 92126-1465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164083 | Other | CA | PHARMACY TECHNICIAN LICENSE |
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 |
|---|---|---|---|
| 164083 | CA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522022400000",
"number": "1801391560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8890 CASSIOEPIA WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921261465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8890 CASSIOEPIA WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921261465",
"telephone_number": "858-357-4262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELTRAN",
"first_name": "PETER PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-26",
"last_updated": "2018-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "164083",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY TECHNICIAN LICENSE",
"identifier": "164083",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.