Sylvia Brouwer Beamesderfer, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G79411 Issued in CA

Practice address

5342 Dudley Blvd BLDG 98
MC Clellan Opc
McClellan, CA 95652-1012

Phone

(800) 382-8387

Fax

(916) 561-7405

NPI assigned

Dec 8, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1891770285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5342 DUDLEY BLVD BLDG 98",
            "address_2": "MC CLELLAN OPC",
            "city": "MCCLELLAN",
            "state": "CA",
            "postal_code": "956521012",
            "telephone_number": "800-382-8387",
            "fax_number": "916-561-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5342 DUDLEY BLVD BLDG 98",
            "address_2": "MC CLELLAN OPC",
            "city": "MCCLELLAN",
            "state": "CA",
            "postal_code": "956521012",
            "telephone_number": "800-382-8387",
            "fax_number": "916-561-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAMESDERFER",
        "first_name": "SYLVIA",
        "middle_name": "BROUWER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G79411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Araiza
• Jocelyn Marie Avera
• Lauren Rose Bailey
• Ariana Barraza
• Caitlin Elizabeth Baumgardner, RN
• William Beauchamp
• Karlene Bittler
• Kendall Lynn Block, DDS
• Stephanie Ann Bost, RD
• Faith Benton Broyles

• Internal Medicine Physician in McClellan, CA
• Providers in McClellan, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.