BEACON MEDICAL MANAGEMENT LLC
NPI 1902166085
General Practice in Tustin, CA

Active since May 22, 2012
13372 NEWPORT AVE STE I, TUSTIN, CA 92780(714) 731-9355(714) 731-9350 Get Directions Write a Review

NPPES record last updated: May 22, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • General Practice

About BEACON MEDICAL MANAGEMENT LLC

This page provides the complete NPI Profile along with additional information for Beacon Medical Management Llc, a primary care provider established in Tustin, California operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1902166085 assigned on May 2012. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Beacon Medical Management Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Jennifer Jeanne Milam (Owner)

NPI
1902166085 Verify this NPI
Provider Name
BEACON MEDICAL MANAGEMENT LLC
Entity Type
Organization
Location Address
13372 NEWPORT AVE STE I TUSTIN, CA 92780
Location Phone
(714) 731-9355
Location Fax
(714) 731-9350
Mailing Address
13372 NEWPORT AVE STE I TUSTIN, CA 92780
Mailing Phone
(714) 731-9355
Mailing Fax
(714) 731-9350
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2012
Last Update Date
05-22-2012
Code Navigator

A primary care provider (PCP) like Beacon Medical Management Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JENNIFER JEANNE MILAM

Authorized Official Title
OWNER
Authorized Official Phone
(714) 731-9355

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902166085, enumerated as an "organization" on May 22, 2012.

The provider is located at 13372 NEWPORT AVE STE I TUSTIN, CA 92780 and the phone number is (714) 731-9355.

General Practice with taxonomy code 208D00000X.