Steven M Beutler MD Inc

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

G69216 Issued in CA

Legal business name

STEVEN M BEUTLER MD INC

Practice address

350 Terracina Blvd
Redlands, CA 92373-4850

Phone

(951) 738-0968

Fax

(951) 738-0524

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Diane Swanson

Title

Account Manager

Phone

(951) 738-0968

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1992814602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2095",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917292095",
            "telephone_number": "951-738-0968",
            "fax_number": "951-738-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 TERRACINA BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734850",
            "telephone_number": "951-738-0968",
            "fax_number": "951-738-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN M BEUTLER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "951-738-0968",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G69216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G392160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.