HOLLY BEARDSLEY (NPI# 1558514612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558514612 |
| Entity Type | Individual |
| Full Name | HOLLY BEARDSLEY |
| Credential | PA-C |
| Practice Address |
1617 Westcliff Dr Suite 100 Newport Beach CA 92660-5524 |
| Practice Telephone | 9495154111 |
| Practice Fax Number | 9495150318 |
| Mailing Telephone | 9495154111 |
| Mailing Fax Number | 9495150318 |
| Enumeration Date | 2008-11-02 |
| Last Update Date | 2011-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 19974 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | CJ671Y | 01 |
| Street Address |
1617 WESTCLIFF DR SUITE 100 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-5524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578527131 | Douglas Roy Mest | Anesthesiology | 1617 Westcliff Dr, Newport Beach, CA 92660-5525 | 2006-04-12 |
| 1477014868 | Bruce B Lee, M.d. | Obstetrics & Gynecology | 1617 Westcliff Dr, Newport Beach, CA 92660-5524 | 2019-03-27 |
| 1578004743 | Terry Dubrow, M.d., A Medical Corporation | Surgery | 1617 Westcliff Dr, Suite 207, Newport Beach, CA 92660-5524 | 2017-03-20 |
| 1821469321 | Jacqueline Brambila | Physician Assistant | 1617 Westcliff Dr, Suite 207, Newport Beach, CA 92660-5524 | 2015-10-09 |
| 1598161937 | Healthcore Physical Therapy | Clinic/Center | 1617 Westcliff Dr, Suite 205, Newport Beach, CA 92660-5524 | 2014-11-12 |
| 1750719183 | Rox Surgery Center Newport Beach LLC | Clinic/Center | 1617 Westcliff Dr, 106, Newport Beach, CA 92660-5524 | 2013-10-22 |
| 1073950325 | Kristen Forman Md Inc | Dermatology | 1617 Westcliff Dr, 100, Newport Beach, CA 92660-5524 | 2013-05-28 |
| 1033464110 | Cynthia Chen Lazzaro | Dermatology | 1617 Westcliff Dr, Suite 100, Newport Beach, CA 92660-5524 | 2012-07-16 |
| 1740505395 | Moss Chiropractic & Nutrition Inc | Chiropractor | 1617 Westcliff Dr, Suite 202, Newport Beach, CA 92660-5524 | 2010-04-06 |
| 1174857023 | Ltc Dermatology | Dermatology | 1617 Westcliff Dr, #100, Newport Beach, CA 92660-5524 | 2009-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599596 | Hanna Marie Jantzi | Physician Assistant | 3501 Jamboree Rd # 1250, Newport Beach, CA 92660-2939 | 2020-02-07 |
| 1760012397 | Chiara Rundle | Physician Assistant | 308 Columbia St, Newport Beach, CA 92663-2305 | 2020-01-23 |
| 1780220772 | Noelle Joy Kraus | Physician Assistant | 20301 Sw Birch St Ste 100, Newport Beach, CA 92660-1754 | 2019-11-25 |
| 1902397219 | Ashley Mergelmeyer | Physician Assistant | 2332 Baypointe Dr, Newport Beach, CA 92660-8520 | 2018-05-22 |
| 1235645052 | Jennifer T Le | Physician Assistant | 2430 W Coast Hwy, Newport Beach, CA 92663-4780 | 2017-12-15 |
| 1679009856 | Morgan Surfas | Physician Assistant | 600 Newport Center Dr Ste 150, Newport Beach, CA 92660-6418 | 2017-05-07 |
| 1073049375 | Kristen Kichline | Physician Assistant | 2115 Sherington Pl Apt D314, Newport Beach, CA 92663-6603 | 2017-05-05 |
| 1619271038 | Yoomi Cho | Physician Assistant | 1401 Avocado Ave Ste 703, Newport Beach, CA 92660-8710 | 2010-12-28 |
| 1023282019 | Sally E. Decastro-tilsen | Physician Assistant | 400 Newport Center Dr Ste 701, Newport Beach, CA 92660-7608 | 2008-04-22 |
| 1396921573 | Brandie Rulfs Walton | Physician Assistant | 400 Newport Center Dr. Ste 500, Newport Beach, CA 92660 | 2008-01-17 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
Please comment or provide details below to improve the information on HOLLY BEARDSLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.