WELLCARE MEDICAL CLINIC INC (NPI# 1235575853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235575853 |
| Entity Type | Organization |
| Organization Name | WELLCARE MEDICAL CLINIC INC |
| Practice Address |
2990 E Pacific Coast Hwy Long Beach CA 90804-1632 |
| Practice Telephone | 7148473322 |
| Mailing Telephone | 7148473322 |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-12-03 |
| Authorized Official Name | TRACY CHARLES (OFFICIER) |
| Authorized Official Telephone | 7148473322 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
A46552 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2990 E PACIFIC COAST HWY |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710397955 | Westview Medical Surgical Center, LLC | Clinic/Center | 2990 E Pacific Coast Hwy, Suite C, Long Beach, CA 90804-1632 | 2014-04-28 |
| 1518389519 | Westview Medical Clinic, Inc | Family Medicine | 2990 E Pacific Coast Hwy, Suite A, Long Beach, CA 90804-1632 | 2014-01-09 |
| 1427488741 | Wellcare Medical Clinic. Inc | Family Medicine | 2990 E Pacific Coast Hwy, Long Beach, CA 90804-1632 | 2013-11-22 |
| 1750713343 | Pch Sleep Disorder Center | Clinic/Center | 2990 E Pacific Coast Hwy, Suite B, Long Beach, CA 90804 | 2013-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013943000 | Willow Medical Group | Anesthesiology | 3311 E Willow St, Long Beach, CA 90806 | 2006-06-23 |
| 1962405878 | Comprehensive Pain Care Medical Ctrs, Inc | Anesthesiology | 2650 Elm Ave, Ste 218, Long Beach, CA 90806-1653 | 2005-05-24 |
| 1194951194 | Matthew Eugene Harris | Anesthesiology | 2888 Long Beach Blvd, Suite 210, Long Beach, CA 90806-1530 | 2009-06-04 |
| 1003966763 | Faustino Bernadett | Anesthesiology | 1040 Elm Ave, 100, Long Beach, CA 90813-3264 | 2007-01-12 |
| 1558434431 | Dennis Hui-ting Chen, M.d., Inc. | Anesthesiology | 1945 Palo Verde Ave, Suite #101, Long Beach, CA 90815-3443 | 2006-11-16 |
| 1174610133 | Long Beach Comprehensive Pain Services, Pllc | Anesthesiology | 455 E Bay Dr, Long Beach, NY 11561-2301 | 2006-10-09 |
| 1215950829 | Georges F Elkhoury | Anesthesiology | 2650 Elm Ave, Ste 218, Long Beach, CA 90806-1651 | 2006-07-25 |
| 1205852183 | Matthew Vo M D Incorporated | Anesthesiology | 1050 Linden Ave, Long Beach, CA 90813-3321 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512567 | Clinicas Del Valle, Inc | Anesthesiology | 120 W. Cole Blvd, Ste. B, Calexico, CA 92231 | 2020-09-10 |
| 1609489418 | Cyrus Dadachanji Md Inc. | Anesthesiology | 34762 Midland Ave, Murrieta, CA 92563-8419 | 2020-08-31 |
| 1962050401 | Sky Anesthesia Inc. | Anesthesiology | 4477 W 118th St Ste 501, Hawthorne, CA 90250-2260 | 2019-08-28 |
| 1932671856 | North County Pain Institute | Anesthesiology | 940 E Valley Pkwy Ste K, Escondido, CA 92025-3441 | 2018-12-18 |
| 1285101824 | 16th Street Anesthesia Services Corp | Anesthesiology | 2323 16th St Ste 507, Bakersfield, CA 93301-3454 | 2018-11-01 |
| 1033697305 | Heyer Anesthesia PC | Anesthesiology | 1120 W La Veta Ave Ste 330, Orange, CA 92868-4231 | 2018-07-30 |
| 1982190229 | Algos Inc., A Medical Corporation | Anesthesiology | 12840 Riverside Dr Ste 208, Valley Village, CA 91607-3343 | 2018-07-10 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1033616644 | Howard Siegel Md Inc | Anesthesiology | 8112 Milliken Ave Ste 202, Rancho Cucamonga, CA 91730-7473 | 2018-04-10 |
| 1780198952 | Unified Physician Associates Inc | Anesthesiology | 3200 S Bristol St Ste B, Santa Ana, CA 92704-6711 | 2017-11-27 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
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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.