Doctor profile · Federal record
Dr. Ijose Beverly, NP
Nurse Practitioner · Registered Nurse · San Diego, CA
- NPI 1689097065
- 12 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
3434 Midway Dr Ste 2001
San Diego, CA 921104924
(619) 325-1161
fax (619) 325-1717 - Additional location
-
340 Fourth Ave Ste 19
Chula Vista, CA 919103898
(619) 761-5308
fax (619) 591-1910
Credentials & registration
- NPI registered
- January 2014 — 12 yrs on file
- Profile last updated
- July 31, 2024
- Specialty taxonomy
- 363L00000X — NUCC code
- State licenses (2)
- California #95000198 · California #806970
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1689097065. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$15
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbott Laboratories | 1 | $15.39 |
By nature of payment
Frequently asked questions
What is Dr. Ijose Beverly's medical specialty?
Dr. Ijose Beverly practices Nurse Practitioner in San Diego, CA.
Where does Dr. Ijose Beverly practice?
Dr. Ijose Beverly practices at 3434 Midway Dr Ste 2001, San Diego, CA 921104924. Office phone: 6193251161.
What is Dr. Ijose Beverly's NPI?
Dr. Ijose Beverly's National Provider Identifier (NPI) is 1689097065, issued by NPPES.