Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Holly Beardsley, PA-C

Individual provider Physician Assistant · NPI 1558514612

Holly Beardsley, PA-C is a Physician Assistant in Newport Beach, California. Qualified in 2008, 18 years ago. Practices with Kristen Forman MD Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1617 Westcliff Dr Ste 100
Newport Beach, CA 92660-5524
Phone: (949) 515-4111
Fax: (949) 515-0318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 19974 (CA)

Record details

NPI number1558514612
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 2, 2008
Last updated in NPPESNovember 30, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Kristen Forman Md Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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