Gary E. Bean MD, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G53663 Issued in CA

Legal business name

GARY E. BEAN MD, INC

Practice address

4180 Park Blvd
Oakland, CA 94602-1207

Phone

(510) 530-5437

Fax

(510) 530-9703

NPI assigned

Apr 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary Erwin Bean, M.D.NPI 1093829327

Title

Owner

Phone

(510) 530-5437

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary E Bean, MD

  • Pediatrics Physician
  • Oakland, CA
  • NPI 1093829327
  NPD (past) Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972625986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 PARK BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021207",
            "telephone_number": "510-530-5437",
            "fax_number": "510-530-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 PARK BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021207",
            "telephone_number": "510-530-5437",
            "fax_number": "510-530-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY E. BEAN MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ERWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-530-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G53663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G53663",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simone Marie Garrigues, M.A., L.C.S.W.
• Patrick Garriott
• Ali Garry Sr.
• Radha Garvey, MD
• Jameelah Garvin
• Darla Gary, OTR/L
• Jamaal R Gary, RN
• Andrea Garza
• Hannah Maria Garza, MD
• Ma Bernadette Belmi Garza, RN, FNP

• Primary Care Clinic/Center in Oakland, CA
• Providers in Oakland, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.