LONG BEACH MEMORIAL MEDICAL (NPI# 1053653782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053653782 |
| Entity Type | Organization |
| Organization Name | LONG BEACH MEMORIAL MEDICAL |
| Other Organization Name | INFUSION CARE PHARMACY NORTH |
| Practice Address |
455 E Columbia St Long Beach CA 90806 |
| Mailing Address |
455 E Columbia St Long Beach CA 90806-1620 |
| Practice Telephone | 5629337702 |
| Practice Fax Number | 5629337705 |
| Mailing Telephone | 5629337702 |
| Mailing Fax Number | 5629337705 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2018-08-23 |
| Authorized Official Name | CHRIS FINCH (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 7143773218 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| INFUSION CARE PHARMACY NORTH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473438 | Long Beach Memorial Medical | Pharmacy | 2701 Atlantic Ave Ste 100, Long Beach, CA 90806-2701 | 2020-10-05 |
| 1477036382 | Long Beach Memorial Medical | Clinic/Center | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2018-09-07 |
| 1215398755 | Long Beach Memorial Medical | Pharmacy | 2810 Long Beach Blvd, Long Beach, CA 90806-1558 | 2016-03-11 |
| 1699068940 | Long Beach Memorial Medical | Psychiatric Unit | 1720 Termino Ave, Long Beach, CA 90804-2104 | 2011-05-19 |
| 1720371065 | Long Beach Memorial Medical | General Acute Care Hospital | 1720 Termino Ave, Long Beach, CA 90804 | 2011-05-19 |
| 1891890158 | Long Beach Memorial Medical | Pharmacy | 2801 Atlantic Ave, Long Beach, CA 90806 | 2006-09-13 |
| 1679677629 | Long Beach Memorial Medical | Durable Medical Equipment & Medical Supplies | 23521 Paseo De Valencia, Ste B-1, Laguna Hills, CA 92653 | 2006-09-12 |
| 1003829722 | Long Beach Memorial Medical | Pharmacy | 2801 Atlantic Ave, Long Beach, CA 90806 | 2006-08-14 |
| 1972514503 | Long Beach Memorial Medical | Pharmacy | 450 E Spring St, Ste 11, Long Beach, CA 90806 | 2006-08-10 |
| 1477596583 | Long Beach Memorial Medical | General Acute Care Hospital | 2801 Atlantic Ave, Long Beach, CA 90806 | 2006-06-14 |
| Street Address |
455 E COLUMBIA ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306942073 | Mark Dressner | Family Medicine | 455 E Columbia St, Suite 201-206, Long Beach, CA 90806-1620 | 2006-09-16 |
| 1528615614 | Michelle Comroe | Dentist | 455 E Columbia St, Long Beach, CA 90806-1620 | 2019-08-22 |
| 1659804391 | Arman Parsa | Dentist | 455 E Columbia St, Suite 32, Long Beach, CA 90806-1620 | 2017-04-10 |
| 1275065039 | Wesley Orianna Wong | Pediatrics | 455 E Columbia St, Long Beach, CA 90806-1620 | 2017-03-31 |
| 1528413903 | Jenny Kry | Nurse Practitioner | 455 E Columbia St, Long Beach, CA 90806-1620 | 2016-05-04 |
| 1962879684 | Antonia Valencia | Dental Assistant | 455 E Columbia St, Suite 32, Long Beach, CA 90806-1620 | 2015-08-28 |
| 1508233222 | Maria L. Negriete-bleazard | Dental Assistant | 455 E Columbia St, Suite 32, Long Beach, CA 90806-1620 | 2015-08-28 |
| 1962895656 | Shannon Ly | Rehabilitation Practitioner | 455 E Columbia St, Suites 201 & 6, Long Beach, CA 90806-1620 | 2015-03-05 |
| 1265793798 | Vouchmeng Sieng | Community Health Worker | 455 E Columbia St, 201 & 6, Long Beach, CA 90806-1620 | 2012-05-31 |
| 1396002390 | Kimberly Reigel Wada | Pediatrics | 455 E Columbia St, Suite 210, Long Beach, CA 90806-1620 | 2012-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972514503 | Long Beach Memorial Medical | Pharmacy | 450 E Spring St, Ste 11, Long Beach, CA 90806 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447897921 | Pharmacy Home Infusion Network | Pharmacy | 900 W Glenoaks Blvd Ste G, Glendale, CA 91202-2664 | 2019-12-04 |
| 1073085007 | Kaiser Foundation Health Plan Inc | Pharmacy | 615 W Avenue L Trailer, Lancaster, CA 93534-7211 | 2019-01-02 |
| 1386155752 | Toci Health Inc | Pharmacy | 8851 Watson St Apt B, Cypress, CA 90630-2269 | 2017-10-12 |
| 1154875466 | Medquick Prescription Shoppe Inc | Pharmacy | 923 Cole Ave, Los Angeles, CA 90038-2610 | 2016-08-04 |
| 1841665973 | Biomed California, Inc | Pharmacy | 721 S Glasgow Ave., Suite C, Inglewood, CA 90301-3016 | 2015-12-01 |
| 1790158756 | Soleo Health Inc. | Pharmacy | 1324 W. Winton Ave, Hayward, CA 94545-1408 | 2015-11-12 |
| 1982013462 | Medrx Infusion Clinical Pharmacy, LLC | Pharmacy | 415 N Oak St, Inglewood, CA 90302-3314 | 2014-08-08 |
| 1669884722 | Dm Clinical Collaborations | Pharmacy | 6108 San Fernando Rd, Glendale, CA 91201-2240 | 2014-05-23 |
| 1609209352 | Santa Barbara Specialty Pharmacy LLC | Pharmacy | 4690 Carpinteria Ave Ste B, Carpinteria, CA 93013-1875 | 2013-08-16 |
| 1265773501 | Saint Paul Enterprises, Inc. | Pharmacy | 1010 E Arrow Hwy, Covina, CA 91724-1020 | 2013-03-12 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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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.