NPI 1114120474 · live from the CMS NPI Registry
Jason D. Beck, M. D.
Family Medicine in Fresno, CA. National Provider Identifier 1114120474, active.
NPI record
| NPI | 1114120474 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2740 S Elm Ave, Fresno, CA 93706 |
| Practice phone | 559-457-5200 |
| Mailing address | 7001 Highway 614, Moss Point, MS 39562 |
| Enumerated | June 6, 2007 |
| Last updated | June 20, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 21210 (MS) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Family Medicine primary | 207Q00000X | C135430 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.