Active NPI
Shamika Lashon Beavers
- Community Health Worker
- San Bernardino, CA
National Provider Identifier
1851896799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 165 W Hospitality LN Ste 11
San Bernardino, CA 92408-3322 - Phone
- (323) 245-6806
- NPI assigned
- Mar 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Community Health Worker | 172V00000X | Primary | ||
| Rehabilitation Practitioner | 225400000X |
Addresses
Primary practice location
165 W Hospitality LN Ste 11
San Bernardino, CA 92408-3322
Mailing address
837 E Arrow Hwy
Pomona, CA 91767-2587
Phone (909) 621-9052
Other practice location 1
23119 Cottonwood Ave Ste 100
Moreno Valley, CA 92553-9661
Phone (951) 413-5130
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| People Coordinated Services of Southern California, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Abuse Rehabilitation Facility
- Los Angeles, CA
- NPI 1609326974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1851896799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "837 E ARROW HWY",
"city": "POMONA",
"state": "CA",
"postal_code": "917672587",
"telephone_number": "909-621-9052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 W HOSPITALITY LN STE 11",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083322",
"telephone_number": "323-245-6806"
}
],
"practiceLocations": [
{
"address_1": "23119 Cottonwood Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Moreno Valley",
"state": "CA",
"postal_code": "925539661",
"country_code": "US",
"telephone_number": "951-413-5130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEAVERS",
"first_name": "SHAMIKA",
"middle_name": "LASHON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-23",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.