Kysha Beach

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95351053 Issued in CA

Practice address

PO Box 5080
San Ramon, CA 94583-0980

Phone

(916) 286-7080

NPI assigned

Aug 28, 2024

Last updated

Aug 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Hill Physicians Care Solutions, Inc.

  • Health Maintenance Organization
  • San Ramon, CA
  • NPI 1437769429
  NPD
• Hill Physicians Non Cin PPO

  • Preferred Provider Organization
  • San Ramon, CA
  • NPI 1497242952
  NPD (past)

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1891529103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5080",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945830980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 5080",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945830980",
            "telephone_number": "916-286-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "KYSHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "95351053",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95351053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Care Transportation LLC
• Bay Home Health Inc
• Bay Hospice Care, Inc.
• Bay Pediatric Development
• Be Clinical Incorporated
• Melanie Beardslee, M.S., CCC-SLP
• Kristina Beaver
• Jennifer Beavers
• Behavior & More LLC
• Charlotte Behning

• Registered Nurse in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.