Individual provider Active NPI

Tina Jean Beckham, F.N.P.

  • Nurse Practitioner
  • Oxnard, CA
National Provider Identifier
1801837836
Registry record updated Aug 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP14290 / RN515862 Issued in CA
Practice address
1600 N Rose Ave
Oxnard, CA 93030-3722
Phone
(805) 988-2843
Fax
(805) 988-2844
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP14290 / RN515862 CA Primary

Addresses

Primary practice location

1600 N Rose Ave
Oxnard, CA 93030-3722

Mailing address

11826 Trapani CT
Moorpark, CA 93021-3340
Phone (805) 529-0408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051107001031 CA Practitioner - Nurse Practitioner 4880612951 Reassigns benefits to 1 organization
I20210923001495 HI Practitioner - Nurse Practitioner 4880612951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RP Medical LLCGroup PAC ID 3779877485, 19 clinicians

Practice addresses (Care Compare)

270 Dairy Rd
Kahului, HI 96732-2986
Phone (808) 667-6161

305 Keawe St
Suite 507
Lahaina, HI 96761-2734
Phone (808) 667-6161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
55512CAMDCritical Care Pharmacist
NP14290 / RN515862CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Los Robles Emergency Physicians Medical Group CurrentSince Jun 23, 2009 Accepting new patients
RP Medical LLC CurrentSince Jun 26, 2021 Accepting new patients

Locations

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

270 Dairy Rd
Ste 239
Kahului, HI 96732

Interoperability endpoints

  • Direct secure messaging: tina.beckham.p11@direct.regal.nextgenshare.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186099200000",
    "number": "1801837836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11826 TRAPANI CT",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213340",
            "telephone_number": "805-529-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N ROSE AVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930303722",
            "telephone_number": "805-988-2843",
            "fax_number": "805-988-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKHAM",
        "first_name": "TINA",
        "middle_name": "JEAN",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP14290 / RN515862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.