CITY OF LONG BEACH (NPI# 1083638530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083638530 |
| Entity Type | Organization |
| Organization Name | CITY OF LONG BEACH |
| Other Organization Name | CITY OF LONG BEACH HEALTH DEPT |
| Practice Address |
2525 Grand Ave Room #260 Long Beach CA 90815-1765 |
| Practice Telephone | 5625704075 |
| Practice Fax Number | 5625704070 |
| Mailing Telephone | 5625704075 |
| Mailing Fax Number | 5625704070 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2014-07-01 |
| Authorized Official Name | DR. MITCHELL KUSHNER (CITY HEALTH OFFICER) |
| Authorized Official Telephone | 5625704047 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| City of Long Beach Health Dept | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497967343 | City of Long Beach | Nursing Care | 2525 Grand Ave., 183, Long Beach, CA 90815 | 2007-05-04 |
| 1053370411 | City of Long Beach | Ambulance | 1 W Chester St, Long Beach, NY 11561-2016 | 2006-03-22 |
| 1558346775 | City of Long Beach | Ambulance | 925 Harbor Plz, Ste 100, Long Beach, CA 90802-6411 | 2005-12-09 |
| 1427438183 | City of Long Beach | Public Health or Welfare | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2015-06-08 |
| 1285848374 | City of Long Beach | Case Management | 6335 Myrtle Ave, Long Beach, CA 90805-2430 | 2007-05-09 |
| 1255545133 | City of Long Beach | Public Health or Welfare | 1133 E Rhea St, Long Beach, CA 90806-5125 | 2007-05-09 |
| 1023116811 | City of Long Beach | Public Health or Welfare | 2525 Grand Ave, Long Beach, CA 90815 | 2006-09-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CITY OF LONG BEACH (INC) | 1 W Chester St, Long Beach, NY 11561-2016 |
| Street Address |
2525 GRAND AVE ROOM #260 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90815-1765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144222803 | Mauro S Torno | Internal Medicine | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2005-08-12 |
| 1861982449 | Evangeline Evangelista | Registered Nurse | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2018-05-18 |
| 1245729748 | Susana Guadalupe Aceves | Registered Nurse | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2018-05-09 |
| 1932604964 | Irene Hyun Jin Lee | Registered Nurse | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2018-03-30 |
| 1033623582 | Pauline Pham | Registered Nurse | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2017-11-20 |
| 1407307192 | Robyn Williams | Registered Nurse | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2016-10-18 |
| 1346615309 | Chamnaneth Khem | Registered Nurse | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2015-12-02 |
| 1467827527 | Julio C. Rodriguez | Social Worker | 2525 Grand Ave, Suite 115, Long Beach, CA 90815-1765 | 2015-12-01 |
| 1427438183 | City of Long Beach | Public Health or Welfare | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2015-06-08 |
| 1174916753 | Ana Hizon | Registered Nurse | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2015-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596745 | Fatima A. Hernandez | Technician | 2846 N Greenbrier Road, Long Beach, CA 90815 | 2019-09-09 |
| 1376027938 | Abigail Joy Dominguez | Social Worker | 2725 Hackett Ave, Long Beach, CA 90815 | 2018-09-19 |
| 1790271716 | The North Star Center for Marriage and Family Therapy, Inc. | Counselor | Faith Recovery, 2211 Suite C Palo Verde Ave, Long Beach, CA 90815 | 2018-07-02 |
| 1639600844 | Melissa Suzanne Fitzgerald | Nurse Practitioner | 6510 E. Spring Street, Spring Family Medical Group, Long Beach, CA 90815 | 2017-03-21 |
| 1588102818 | Jeff Clement | Registered Nurse | 1824 Stearnlee Avenue, Long Beach, CA 90815 | 2017-02-07 |
| 1376923524 | Edward Carl Woerz | Surgery | 5640 E. Las Lomas St., L.b., CA 90815 | 2015-06-03 |
| 1558765107 | Kendall Cheney Perez | Social Worker | 4142 E Mendez St Unit 433, Long Beach, CA 90815 | 2014-10-10 |
| 1689087769 | Nellie Grace Bell, Ma, Inc. | Marriage & Family Therapist | 6200 E. Spring St., Suite G, Long Beach, CA 90815 | 2014-06-06 |
| 1245652270 | Nguyen and Ghazal Dental Corporation | Dentist | 5533-a East Stearns Street, Long Beach, CA 90815 | 2014-01-10 |
| 1306267182 | Marcia Freeman | Licensed Practical Nurse | 2250 Grand Ave, Long Beach, CA 90815 | 2013-12-23 |
| Find all providers in zip 90815 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
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|---|---|---|---|---|
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| 1821527326 | County of Ventura | Clinic/Center | 2240 E Gonzales Rd Ste 140, Oxnard, CA 93036-8212 | 2017-06-08 |
| 1134658644 | County of Ventura | Clinic/Center | 2240 E Gonzales Rd Ste 210, Oxnard, CA 93036-8216 | 2017-06-08 |
| 1598212045 | Truc Doan | Clinic/Center | 1000 W. Carson, Torrance, CA 90502 | 2016-09-01 |
| 1861765877 | County of Los Angeles | Clinic/Center | 522 S. San Pedro Street, Los Angeles, CA 90013-2102 | 2012-02-22 |
| 1356588925 | Optimum Health Care Centet | Clinic/Center | 4244 Mustic Way, Mather, CA 95655-3032 | 2009-01-19 |
| 1740431436 | County of Orange | Clinic/Center | 1725 W 17th St Ste 101f, Santa Ana, CA 92706-2316 | 2008-10-01 |
| 1457501280 | County of Merced | Clinic/Center | 415 F St, Los Banos, CA 93635-3612 | 2008-09-29 |
| 1275795692 | El Dorado County Health Department | Clinic/Center | 931 Spring Street, Placerville, CA 95667 | 2008-06-26 |
| 1447444294 | County of Los Angeles | Clinic/Center | 241 N Figueroa St, Los Angeles, CA 90012-2601 | 2007-09-04 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90815 |
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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.