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DR. SCOTT A BEASLEY M.D.
NPI 1710055272
Pediatrics - Neonatal-Perinatal Medicine in Tarzana, CA

Active since December 01, 2006PECOS Enrolled
18321 CLARK ST, TARZANA, CA 91356(818) 881-0800 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Scott A Beasley M.d. NPPES

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

DR. SCOTT A BEASLEY M.D. (NPI 1710055272) is an individual neonatal-perinatal medicine provider in Tarzana, California, licensed in California (G37825) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1710055272
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. SCOTT A BEASLEYCredential: M.D.
Location Address18321 CLARK STTarzana, CA 91356-3501
Mailing AddressPo Box 1359San Clemente, CA 92674-1359 · (949) 492-3514 · Fax (949) 366-2390
Phone(818) 881-0800
Sole ProprietorNo
Enumeration DateDecember 1, 2006
Last NPPES UpdateJune 30, 2020
NPPES CertifiedJune 30, 2020
✔ NPI 1710055272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CA · G37825
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
18321 CLARK ST, Tarzana, CA 91356
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Secondary Practice Location 1

Location 11401 S Grand AveLos Angeles, CA 90015-3010 · Phone (213) 742-5716 · Fax (949) 366-2390

Other Identifiers 1

Medicaid00G378250CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Scott A Beasley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Scott Beasley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Los Angeles Medical Group, Inc.
15 mi
Multi-Specialty
4650 SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
  • 1,281 clinicians in this Medicare group
NPI 1265530653 (323) 361-2337

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

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.

DR. JONATHAN ANDREW PRINCE M.D.
Emergency Medicine
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 708-5170
ART ONCOLOGY INC
Radiology (Diagnostic Radiology)
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (215) 313-0024
DR. NEIL ERIC CANBY M.D.
Emergency Medicine
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 708-5170
KELLY ANN ARCHER KAMINSKI OTR/L
Occupational Therapist
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 881-0800
DR. FREDERICK THEODORE DENNIS M.D.
Emergency Medicine
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 708-5170
KIMBERLY DANG PHAM
Pharmacist
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 881-0800
CAROL V GREENE NNP
Nurse Practitioner (Neonatal)
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 708-5242
CARMEN BOTERO, MD
Pediatrics (Pediatric Critical Care Medicine)
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (208) 676-9080

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 Scott Beasley's NPI number?

The NPI number for Scott Beasley is 1710055272. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Scott Beasley located?

Scott Beasley practices at 18321 Clark St, Tarzana, CA 91356. The listed phone number is (818) 881-0800.

What is Scott Beasley's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Scott Beasley enrolled in Medicare?

Yes. Scott Beasley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Scott Beasley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Beasley reassigns Medicare benefits to Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA). The 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 Scott Beasley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Scott Beasley was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.