LONG BEACH MEMORIAL MEDICAL (NPI# 1477596583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477596583 |
| Entity Type | Organization |
| Organization Name | LONG BEACH MEMORIAL MEDICAL |
| Other Organization Name | MILLER CHILDREN'S HOSPITAL |
| Practice Address |
2801 Atlantic Ave Long Beach CA 90806 |
| Mailing Address |
2801 Atlantic Ave Long Beach CA 90806-1737 |
| Practice Telephone | 5629335437 |
| Practice Fax Number | 5629338016 |
| Mailing Telephone | 5629335437 |
| Mailing Fax Number | 5629338016 |
| Enumeration Date | 2006-06-14 |
| 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 |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
930000949 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HSD30727F | 05 | |
| CA | HSP30727F | 05 | |
| CA | HSP40727F | 05 | |
| CA | HSC30727F | 05 |
| Other Name | Type Code |
|---|---|
| Miller Children's Hospital | 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 |
| 1053653782 | Long Beach Memorial Medical | Durable Medical Equipment & Medical Supplies | 455 E Columbia St, Long Beach, CA 90806 | 2013-03-20 |
| 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 |
| Street Address |
2801 ATLANTIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912054 | Richard Eric Swensson | Pediatrics | 2801 Atlantic Ave, Long Beach, CA 90806-1737 | 2005-06-16 |
| 1407453152 | Chih-yin Cheng | Pharmacist | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-10-06 |
| 1386251270 | Veronica Camarero | Social Worker | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-09-25 |
| 1942816087 | Carol Lerma | Social Worker | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-09-23 |
| 1962017327 | Kellie Leann Padilla | Registered Nurse | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-09-12 |
| 1518571850 | Jeannine Meyer | Social Worker | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-09-03 |
| 1376154138 | Katelyn Kriegel | Nurse Practitioner | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-08-13 |
| 1689284309 | Jasmin Sidhu, Md Inc | Hospitalist | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-08-06 |
| 1245853068 | Blanca Guadalupe Lansang | Nurse Practitioner | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-05-27 |
| 1164044376 | Megan Dongsun Won | Pharmacist | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-05-11 |
| 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 | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053721878 | Miller Children's Hospital | General Acute Care Hospital | 1760 Termino Ave, Long Beach, CA 90804-2105 | 2014-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174061279 | Promoj,inc | General Acute Care Hospital | 1254 W 8th St Apt 2, San Pedro, CA 90731-2944 | 2017-02-09 |
| 1699223628 | Ucsf Children's Hospital | General Acute Care Hospital | 568 Louis Dr, Novato, CA 94945-3337 | 2016-09-19 |
| 1528433885 | Michael French Dds Dental Corporation | General Acute Care Hospital | 800 Morningstar Dr, Sonora, CA 95370 | 2015-12-11 |
| 1255717377 | Ucsd Department of Pediatrics | General Acute Care Hospital | 7910 Forst St, Suite 100, San Diego, CA 92123 | 2015-07-31 |
| 1285012690 | Ucsf Pediatric Rheumatology Department | General Acute Care Hospital | 755 Ohlone Ave Apt 788, Albany, CA 94706-1967 | 2015-05-18 |
| 1942691506 | Sudhir Patel Md,. Inc. | General Acute Care Hospital | 12004 Hurst Park Dr, Bakersfield, CA 93311-8572 | 2015-02-17 |
| 1528468287 | Rite Aid | General Acute Care Hospital | 294 W Palo Alto Ave, Clovis, CA 93612-0285 | 2014-09-01 |
| 1942618046 | Christine Van Woudenberg | General Acute Care Hospital | 4602 W Wren Ave, Visalia, CA 93291-9381 | 2014-08-01 |
| 1366866345 | Loma Linda University Children's Hospital | General Acute Care Hospital | 11234 Anderson St Rm 1150, Loma Linda, CA 92354-2804 | 2014-02-11 |
| 1629490057 | Anita Marzonie | General Acute Care Hospital | 4650 W Sunset Blvd # Ms 36, Los Angeles, CA 90027-6062 | 2014-01-21 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on LONG BEACH MEMORIAL MEDICAL.
| 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.