NICHOLAS ROBERT BEATTY PA
NPI 1295927747
Physician Assistant - Medical in Grand Terrace, CA

Q: What is Nicholas Beatty's NPI number?

The NPI number for Nicholas Beatty is 1295927747. It was assigned to this individual provider in the NPPES registry on August 17, 2007.

Q: What is Nicholas Beatty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Beatty was last updated on August 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 17, 2007

22182 BARTON RD, GRAND TERRACE, CA 92313(909) 422-0422 Get Directions Write a Review

NPPES record last updated: August 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicholas Robert Beatty Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS ROBERT BEATTY PA (NPI 1295927747) is an individual medical provider in Grand Terrace, California, licensed in California (PA14337) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1295927747

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameNICHOLAS ROBERT BEATTYCredential: PA

Location Address22182 BARTON RDGrand Terrace, CA 92313-5033

Mailing Address22182 Barton RdGrand Terrace, CA 92313-5033 · (909) 422-0422

Phone(909) 422-0422

Sole ProprietorYes

Enumeration DateAugust 17, 2007

✔ NPI 1295927747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA14337

22182 BARTON RD, Grand Terrace, CA 92313

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDRECORD

General Practice

22182 BARTON RD
GRAND TERRACE, CA 92313

San Bernardino County (909) 800-0025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Beatty's NPI number?

The NPI number for Nicholas Beatty is 1295927747. It was assigned to this individual provider in the NPPES registry on August 17, 2007.

Where is Nicholas Beatty located?

Nicholas Beatty practices at 22182 Barton Rd, Grand Terrace, CA 92313. The listed phone number is (909) 422-0422.

What is Nicholas Beatty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Nicholas Beatty was last updated on August 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.