BEA MEDICAL GROUP INC. NPI 1679533780

NPI Information

NPI: 1679533780
Provider Name: BEA MEDICAL GROUP, INC.
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

CLIA Number: 05D0720545

Address:
10070 PASADENA AVE
STE 2
CUPERTINO, CA
ZIP 95014
Phone: (408) 746-0300
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BEA MEDICAL GROUP, INC. is an adult medicine family medicine in Cupertino, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. BEA MEDICAL GROUP, INC. NPI is 1679533780. The provider is registered as an organization entity type.

The provider's business location address is:

10070 PASADENA AVE
STE 2
CUPERTINO, CA
ZIP 95014-942
Phone: (408) 746-0300

The provider's authorized official is Laura Stevens .
The authorized official title is Ceo, Cfo, President, & Founder and has the following contact phone number (408) 746-0300.

The CLIA number assigned to this NPI record is 05D0720545 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 4/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	CLM 311477	CALIFORNIA	No
2	207QA0505X	Family Medicine	Adult Medicine	FNP 34120	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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