Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicholas Robert Beatty, PA

Individual provider Medical Physician Assistant · NPI 1295927747

Nicholas Robert Beatty, PA is a Medical Physician Assistant in Grand Terrace, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

22182 Barton Rd
Grand Terrace, CA 92313-5033
Phone: (909) 422-0422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA14337 (CA)

Record details

NPI number1295927747
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 17, 2007
Last updated in NPPESAugust 17, 2007