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

Q: What is Beacon Medical Management LLC's NPI number?

The NPI number for Beacon Medical Management LLC is 1902166085. It was assigned to this organization in the NPPES registry on May 22, 2012.

Q: What is Beacon Medical Management LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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: August 16, 2026.

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About Beacon Medical Management Llc NPPES

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

BEACON MEDICAL MANAGEMENT LLC (NPI 1902166085) is a healthcare organization registered as a general practice in Tustin, California and active in the NPI registry since May 2012. The organization lists Jennifer Jeanne Milam, Owner, as its authorized official.

NPPES Registry Identity

NPI1902166085

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameBEACON MEDICAL MANAGEMENT LLC

Location Address13372 NEWPORT AVE STE ITustin, CA 92780-3426

Mailing Address13372 Newport Ave Ste ITustin, CA 92780-3426 · (714) 731-9355 · Fax (714) 731-9350

Phone(714) 731-9355

Fax(714) 731-9350

Organization SubpartNo

Authorized OfficialJennifer Jeanne MilamOwner · (714) 731-9355

Enumeration DateMay 22, 2012

✔ NPI 1902166085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

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

13372 NEWPORT AVE STE I, Tustin, CA 92780

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Beacon Medical Management LLC's NPI number?

The NPI number for Beacon Medical Management LLC is 1902166085. It was assigned to this organization in the NPPES registry on May 22, 2012.

Where is Beacon Medical Management LLC located?

Beacon Medical Management LLC is located at 13372 Newport Ave Ste I, Tustin, CA 92780. The listed phone number is (714) 731-9355.

What is Beacon Medical Management LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Beacon Medical Management LLC was last updated on May 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.