ST JOHN MEDICAL GROUP INC (NPI# 1013188721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013188721 |
| Entity Type | Organization |
| Organization Name | ST JOHN MEDICAL GROUP INC |
| Practice Address |
3440 Atlantic Ave 3 Long Beach CA 90807-4568 |
| Practice Telephone | 9095686770 |
| Mailing Telephone | 9095686770 |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-10-20 |
| Authorized Official Name | DR. YOUSSEF AWAD (MEDICAL OFFICER) |
| Authorized Official Telephone | 9095686770 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A52194 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3440 ATLANTIC AVE 3 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-4568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699735365 | Douglas Robert Brooks | Dentist | 3440 Atlantic Ave, Long Beach, CA 90807-4568 | 2006-03-25 |
| 1164528105 | Youssef Behnam Awad | Internal Medicine | 3440 Atlantic Ave, Suite #3, Long Beach, CA 90807-4568 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013533637 | Ochsner Mississippi, LLC | Internal Medicine | 111 N Cleveland Ave, Long Beach, MS 39560-4713 | 2020-06-19 |
| 1679102248 | Revitalize Life Center A PC | Internal Medicine | 3939 Atlantic Ave Ste 100, Long Beach, CA 90807-3529 | 2020-04-06 |
| 1144864992 | Jonathan Nguyen Medical Clinic Inc | Internal Medicine | 555 E Pacific Coast Hwy Ste 102, Long Beach, CA 90806-5579 | 2019-11-05 |
| 1497251060 | Tak Lun Lau | Internal Medicine | 1101 El Mirador Ave, Long Beach, CA 90815-4422 | 2018-04-03 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1174972012 | Diego Ivan Kriger | Internal Medicine | 3816 Woodruff Ave Ste 412, Long Beach, CA 90808-2146 | 2016-06-10 |
| 1437537644 | Samaritana Medical Clinic Long Beach Inc | Internal Medicine | 1052 Atlantic Ave, Long Beach, CA 90813-3403 | 2015-05-08 |
| 1841600186 | Helen Ma | Internal Medicine | 5901 East 7th St, Long Beach, CA 90822 | 2014-05-07 |
| 1700200938 | Neil H Caplan | Internal Medicine | 27 W Penn St, Long Beach, NY 11561-4003 | 2014-02-07 |
| 1093157596 | Concepcion A Enriquez | Internal Medicine | 3377 Long Beach Blvd, Long Beach, CA 90807-4408 | 2013-07-24 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.