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BEA MEDICAL GROUP, INC.
NPI 1679533780
Family Medicine - Adult Medicine in Cupertino, CA

Active since March 23, 2006CLIA 05D0720545 · Waiver
10070 PASADENA AVE, STE 2, CUPERTINO, CA 95014(408) 746-0300 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bea Medical Group, Inc. NPPES

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

BEA MEDICAL GROUP, INC. (NPI 1679533780) is a healthcare organization registered as an adult medicine in Cupertino, California and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Laura Stevens, Ceo, Cfo, President, & Founder, as its authorized official.

NPPES Registry Identity

NPI1679533780
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameBEA MEDICAL GROUP, INC.
Location Address10070 PASADENA AVE, STE 2Cupertino, CA 95014-5942
Mailing Address10070 Pasadena Ave, Ste 2Cupertino, CA 95014-5942 · (408) 746-0300
Phone(408) 746-0300
Organization SubpartNo
Authorized OfficialLaura StevensCeo, Cfo, President, & Founder · (408) 746-0300
Enumeration DateMarch 23, 2006
Last NPPES UpdateApril 26, 2022
NPPES CertifiedApril 26, 2022
✔ NPI 1679533780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in CA · FNP 34120
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License CLM 311477 (CA)
10070 PASADENA AVE, Cupertino, CA 95014
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bea Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bea Medical Group, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Laura Stevens, M.D.
Family Practice
NPI 1366553372
10070 PASADENA AVE STE 2
Cupertino, CA 95014
(408) 746-0300
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0720545

Bea Medical Group, Inc · Cupertino, CA
Active · expires Oct 5, 2027
CLIA Number05D0720545
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorLaura Stevens
Laboratory Phone(408) 746-0300
Laboratory LocationBea Medical Group, Inc10070 Pasadena Ave Ste 2, Cupertino, CA 95014
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bea Medical Group, Inc.'s NPI number?

The NPI number for Bea Medical Group, Inc. is 1679533780. It was assigned to this organization in the NPPES registry on March 23, 2006.

Where is Bea Medical Group, Inc. located?

Bea Medical Group, Inc. is located at 10070 Pasadena Ave Ste 2, Cupertino, CA 95014. The listed phone number is (408) 746-0300.

What is Bea Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Bea Medical Group, Inc. enrolled in Medicare?

Yes. Bea Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bea Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Bea Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bea Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0720545) is associated with this NPI, valid through October 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bea Medical Group, Inc. was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.