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JEFFREY BEAL
NPI 1962634840
Student in an Organized Health Care Education/Training Program in San Leandro, CA

Active since August 11, 2009
13939 E 14TH ST STE 190, SAN LEANDRO, CA 94578(510) 714-1196(510) 647-9408 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2024, Jan 27, 2017, Sep 28, 2015 (3 updates tracked since 2015).

About Jeffrey Beal NPPES

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

JEFFREY BEAL (NPI 1962634840) is an individual student in an organized health care education/training program in San Leandro, California, licensed in California (68533) and active in the NPI registry since August 2009. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962634840
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEFFREY BEAL
Location Address13939 E 14TH ST STE 190San Leandro, CA 94578-2601
Mailing Address3260 Blume Dr, Ste 450Richmond, CA 94806-5203 · (510) 262-6551
Phone(510) 714-1196
Fax(510) 647-9408
Sole ProprietorNo
Enumeration DateAugust 11, 2009
Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1962634840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CA · 68533
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 68533 (CA)
Also ListedSocial WorkerTaxonomy 104100000X · License 68533 (CA)
13939 E 14TH ST STE 190, San Leandro, CA 94578
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12640 Martin Luther King Jr WayBerkeley, CA 94704-3238 · Phone (510) 714-0996
Location 23260 Blume Dr, Ste 450Richmond, CA 94806-5203 · Phone (510) 262-6551

Other Providers at the Same Location NPPES 3

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

SHALITA WILLIAMS
Social Worker (Clinical)
13939 E 14TH ST STE 190
SAN LEANDRO, CA 94578
Alameda County (510) 973-9646
MARGARET LOUISE KUHN
Marriage & Family Therapist
13939 E 14TH ST STE 190
SAN LEANDRO, CA 94578
Alameda County (510) 326-2296
BONITA HOUSE INC
Community/Behavioral Health
13939 E 14TH ST STE 190
SAN LEANDRO, CA 94578
Alameda County (510) 899-7445

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 Jeffrey Beal's NPI number?

The NPI number for Jeffrey Beal is 1962634840. It was assigned to this individual provider in the NPPES registry on August 11, 2009.

Where is Jeffrey Beal located?

Jeffrey Beal practices at 13939 E 14th St Ste 190, San Leandro, CA 94578. The listed phone number is (510) 714-1196.

What is Jeffrey Beal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Beal was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.