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CANDICE RAYLINE BEAVERS
NPI 1649988148
Peer Specialist in Norwalk, CA

Active since November 14, 2022
12501 IMPERIAL HWY, NORWALK, CA 90650(562) 864-7821 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2023, Nov 14, 2022 (2 updates tracked since 2022).

About Candice Rayline Beavers NPPES

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

CANDICE RAYLINE BEAVERS (NPI 1649988148) is an individual peer specialist in Norwalk, California and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1649988148
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameCANDICE RAYLINE BEAVERS
Location Address12501 IMPERIAL HWYNorwalk, CA 90650-3179
Mailing Address12501 Imperial HwyNorwalk, CA 90650-3179 · (562) 864-7821
Phone(562) 864-7821
Sole ProprietorNo
Enumeration DateNovember 14, 2022
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1649988148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
12501 IMPERIAL HWY, Norwalk, CA 90650
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Other Providers at the Same Location NPPES 20

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

MAXIM HEALTHCARE SERVICES, INC.
Home Health
12501 IMPERIAL HWY, SUITE 130
NORWALK, CA 90650
Los Angeles County (562) 929-8700
MRS. LINDA YESENIA CORTES LMFT
Marriage & Family Therapist
12501 IMPERIAL HWY, #400
NORWALK, CA 90650
Los Angeles County (562) 807-6190
KIMBERLY SIRIBAN
Student in an Organized Health Care Education/Training Program
12501 IMPERIAL HWY
NORWALK, CA 90650
Los Angeles County (562) 864-7821
DEBORAH HEFFNER
Rehabilitation Practitioner
12501 IMPERIAL HWY
NORWALK, CA 90650
Los Angeles County (562) 864-7821
KENNETHIA QUESHIA MAYERS
Case Manager/Care Coordinator
12501 IMPERIAL HWY
NORWALK, CA 90650
Los Angeles County (562) 864-7821
ESMERALDA JIMENEZ
Licensed Vocational Nurse
12501 IMPERIAL HWY, S 500B
NORWALK, CA 90650
Los Angeles County (562) 864-7821
DR. JUSTIN WILLIAM ANDERSEN PHD
Psychologist (Clinical)
12501 IMPERIAL HWY
NORWALK, CA 90650
Los Angeles County (562) 864-7821
ERIANNA URIBE
Day Training/Habilitation Specialist
12501 IMPERIAL HWY
NORWALK, CA 90650
Los Angeles County (510) 306-5660

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 Candice Beavers's NPI number?

The NPI number for Candice Beavers is 1649988148. It was assigned to this individual provider in the NPPES registry on November 14, 2022.

Where is Candice Beavers located?

Candice Beavers practices at 12501 Imperial Hwy, Norwalk, CA 90650. The listed phone number is (562) 864-7821.

What is Candice Beavers's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Candice Beavers was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.