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SCOTT A. BEASLEY M.D. INC. NPI 1710045836


NPI Information

NPI: 1710045836
Provider Name: SCOTT A. BEASLEY, M.D., INC.

Doing Business As: CALIFORNIA NEONATOLOGY SERVICES MEDICAL GROUP

Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

Address:
1401 S GRAND AVE
LOS ANGELES, CA
ZIP 90015
Phone: (213) 742-5716
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SCOTT A. BEASLEY, M.D., INC. is a neonatal-perinatal medicine pediatrics in Los Angeles, CA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. SCOTT A. BEASLEY, M.D., INC. NPI is 1710045836. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As California Neonatology Services Medical Group.

The provider's business location address is:

1401 S GRAND AVE
LOS ANGELES, CA
ZIP 90015-010
Phone: (213) 742-5716
Fax: (949) 366-2390

The provider's authorized official is Kara Nordberg .
The authorized official title is Accounts Administrator and has the following contact phone number (949) 492-3514.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 6/11/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080N0001XPediatricsNeonatal-Perinatal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0057610MEDICAIDCALIFORNIA

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

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