JESSICA JOAN BECKMAN (OD) – Optometrist, NPI 1154071447

JESSICA JOAN BECKMAN (OD) is a healthcare provider. based in City of industry, California. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 35904 (CA). The NPI Number for JESSICA JOAN BECKMAN (OD) is 1154071447

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA JOAN BECKMAN (OD)
NPI
1154071447
Phone
(626) 964-8864
Address
17833 Colima Rd
Enumeration Date
28 March 2022
Last Update Date
28 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6269658895
Graduation Year
2022 (4 years ago)
PAC ID
0244769479
Group Practice PAC ID
4587760749
Professional Enrollment ID
I20250131003306
Address ID
CA917481729CI17833RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

Provider Addresses for JESSICA JOAN BECKMAN (OD)

  • 17833 Colima Rd

    City Of Industry, CA 917481729

    Phone: (626) 964-8864

    Fax: (626) 965-8876

    Type: Location

  • 1950 Sunny Crest Dr Ste 3200

    Fullerton, CA 928353646

    Phone: (714) 278-1834

    Fax: (714) 278-1839

    Type: Location

  • 17411 BROOKLYN AVE

    YORBA LINDA, CA 928861809

    Phone: (714) 864-0649

    Type: Mailing

  • 47474 WASHINGTON ST

    LA QUINTA, CA 922538846

    Phone: (626) 479-8383

    Type: Location

  • 44139 MONTEREY AVE STE A100

    PALM DESERT, CA 922608700

    Phone: (760) 469-5195

    Fax: (760) 779-0801

    Type: Mailing

  • 44139 MONTEREY AVE

    PALM DESERT, CA 922608700

    Phone: (760) 469-5195

    Fax: (760) 779-0801

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250131003306IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91748)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587760749View full group profile
NameSpecialtyState
O P T O M E T R YCA
-CA
O P T O M E T R YCA
-CA
O P T O M E T R YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YTX
O P T O M E T R YTX
Ophthalmology, Plastic And Reconstructive SurgeryCA

Reviews

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Frequently asked questions

What number should I use to identify JESSICA JOAN BECKMAN (OD) for billing?
Administrative and clinical systems typically use NPI 1154071447 for JESSICA JOAN BECKMAN (OD).
Is JESSICA JOAN BECKMAN (OD)'s NPI status active today?
Active status means JESSICA JOAN BECKMAN (OD)'s NPI record is not deactivated in the public file.
What does the directory say JESSICA JOAN BECKMAN (OD) does?
Insurance directories may phrase it differently, but here JESSICA JOAN BECKMAN (OD) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Is JESSICA JOAN BECKMAN (OD) tied to City Of Industry, California?
If you are local to City Of Industry, California, JESSICA JOAN BECKMAN (OD) may be relevant to your search.
Can I export JESSICA JOAN BECKMAN (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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