BEACON EAST ASIAN MEDICINE (NPI# 1538586490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538586490 |
| Entity Type | Organization |
| Organization Name | BEACON EAST ASIAN MEDICINE |
| Other Organization Name | BEAMWELLNESS |
| Practice Address |
379 W Bellevue Dr Pasadena CA 91105-1833 |
| Mailing Address |
96 W Villa St Pasadena CA 91103-3343 |
| Practice Telephone | 2134484254 |
| Practice Fax Number | 6267967187 |
| Mailing Telephone | 2134484254 |
| Mailing Fax Number | 6267967187 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |
| Authorized Official Name | DR. KAREN YONCHAE GORDON (DOCTOR OF ACUPUNCTURE ORIENTAL MED.) |
| Authorized Official Telephone | 2134484254 |
| Authorized Official Credential | D.A.O.M |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | AC15193 | CA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSED ACUPUNCTURIST | AC15193 | 01 |
| CA | ACUPUNCTURE | 64 | 01 |
| Other Name | Type Code |
|---|---|
| BEAMWELLNESS | Other Name - Individual/Organization |
| Street Address |
379 W BELLEVUE DR |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346670452 | Karen Gordon | Acupuncturist | 379 W Bellevue Dr, Pasadena, CA 91105-1833 | 2013-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043660004 | S Shahnazarians Dds A Professional Corp | Preferred Provider Organization | 859 N Fair Oaks Ave, Unit 120, Pasadena, CA 91103-3076 | 2016-06-20 |
| 1790098978 | The De Brito Professional Medical Corporation | Preferred Provider Organization | 751 N Fair Oaks Ave, 301, Pasadena, CA 91103-3069 | 2010-07-16 |
| 1144555418 | Dr Carl V Nicholson Inc | Preferred Provider Organization | 709 E Colorado Blvd, Suite 101, Pasadena, CA 91101-2125 | 2009-10-05 |
| 1831360288 | Robert B. Seltzer, M.d., Inc. | Preferred Provider Organization | 960 E Green St, Suite 108, Pasadena, CA 91106-2401 | 2008-03-13 |
| 1679759245 | Baycenter Family Physician, P.a. | Preferred Provider Organization | 4343 Fairmont Pkwy, Pasadena, TX 77504-3305 | 2008-01-14 |
| 1114107901 | Darrick E Sahara Dc Inc | Preferred Provider Organization | 221 E Walnut St, Suite 130, Pasadena, CA 91101-1585 | 2007-11-08 |
| 1558570242 | Jacqueline M. Ashkar | Preferred Provider Organization | 290 N Hill Ave Ste 4, Pasadena, CA 91106-1563 | 2007-05-21 |
| 1669693057 | Karen Guinn Dds | Preferred Provider Organization | 1175 E Green St, Pasadena, CA 91106-2505 | 2007-05-01 |
| 1457423790 | Physician Associates of The Greater San Gabiel Valley, A Medical Group | Preferred Provider Organization | 199 S Los Robles Ave, Suite 300, Pasadena, CA 91101-2452 | 2006-11-14 |
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| 1356806525 | Premierone Plus Aco | Preferred Provider Organization | 1210 N Jefferson St Ste D, Anaheim, CA 92807-1630 | 2019-02-01 |
| 1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1184100471 | Care Allies Ipa, Inc | Preferred Provider Organization | 1211 W La Palma Ave Ste 309, Anaheim, CA 92801-2811 | 2018-07-19 |
| 1245723071 | Pacific Associates Medical Group, Inc. | Preferred Provider Organization | 9900 Lakewood Blvd Ste 103, Downey, CA 90240-4039 | 2018-06-06 |
| 1821585266 | Anthony Nguyen Dds Inc | Preferred Provider Organization | 1125 E 17th St Ste N156, Santa Ana, CA 92701-2215 | 2018-04-20 |
| 1275038051 | Ryan Lange D.m.d. Inc. | Preferred Provider Organization | 17897 Macarthur Blvd Ste 100, Irvine, CA 92614-0532 | 2018-03-26 |
| 1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| Find all providers with the same taxonomy | ||||
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| 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.