LUKE FAMILY MEDICAL GROUP INC. (NPI# 1477898245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477898245 |
| Entity Type | Organization |
| Organization Name | LUKE FAMILY MEDICAL GROUP INC. |
| Practice Address |
904 E Pacific Coast Hwy Long Beach CA 90806-5626 |
| Practice Telephone | 5625912785 |
| Mailing Telephone | 5625912785 |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-07 |
| Authorized Official Name | MR. MICHAEL SHAWN JOHNSON (PRESIDENT/MANAGER) |
| Authorized Official Telephone | 3107483496 |
| Authorized Official Credential | PHYSICIAN ASSIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
904 E PACIFIC COAST HWY |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-5626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093969537 | Michael Shawn Johnson | Physician Assistant | 904 E Pacific Coast Hwy, Long Beach, CA 90806-5626 | 2008-11-11 |
| 1295222990 | Miranda Afidayi Usongo | Nurse Practitioner | 904 E Pacific Coast Hwy, Long Beach, CA 90806-5626 | 2018-04-18 |
| 1396081600 | Michael S. Johnson Physician Assistant, Inc. | Physician Assistant | 904 E Pacific Coast Hwy, Long Beach, CA 90806-5626 | 2012-12-14 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740827898 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 1955 Long Beach Blvd Ste 150, Long Beach, CA 90806-5501 | 2019-12-09 |
| 1255671566 | Isaias De Guzman Paja Jr. Md Inc | Clinic/Center | 2491 Pacific Ave Ste 3, Long Beach, CA 90806-2900 | 2013-02-22 |
| 1093966822 | St Nazarene Medical Clinic Inc | Clinic/Center | 2403 Atlantic Ave, Long Beach, CA 90806-3221 | 2008-10-10 |
| 1871654160 | Maria Teresa Galarpe Pastor | Clinic/Center | 1703 Termino Ave. Suite 206, 206, Long Beach, CA 90804 | 2006-12-12 |
| 1174570949 | Willapa Counseling Center | Clinic/Center | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2006-05-27 |
| 1255386215 | Henrico V. Mungcal Md | Clinic/Center | 1937 Pacific Ave, Long Beach, CA 90806-5321 | 2006-05-24 |
| 1699201897 | H V Mungcal Md | Clinic/Center | 1937 Pacific Ave, Long Beach, CA 90806-5321 | 2017-05-08 |
| 1285055970 | Patricia A Maciog, Md | Clinic/Center | 6226 E Spring St, 240, Long Beach, CA 90815-1423 | 2013-12-23 |
| 1154681245 | Eldorado Community Service Center | Clinic/Center | 100 E Market St, Long Beach, CA 90805-5924 | 2012-05-22 |
| 1568722890 | Eldorado Community Service Center | Clinic/Center | 2272 Pacific Ave, Suite A, Long Beach, CA 90806-4312 | 2012-05-21 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on LUKE FAMILY MEDICAL GROUP INC..
| 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.