MICHAEL J DE LUCA MD INCORPORATED (NPI# 1487835849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487835849 |
| Entity Type | Organization |
| Organization Name | MICHAEL J DE LUCA MD INCORPORATED |
| Practice Address |
1745 Pacific Ave Long Beach CA 90813-1714 |
| Practice Telephone | 5625917377 |
| Practice Fax Number | 5625917388 |
| Mailing Telephone | 5625917377 |
| Mailing Fax Number | 5625917388 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2008-05-01 |
| Authorized Official Name | DR. MICHAEL J DE LUCA (DIRECTOR CEO) |
| Authorized Official Telephone | 5625917377 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A289710 | 05 |
| Street Address |
1745 PACIFIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336106921 | Won T Lee | Psychiatry & Neurology | 1745 Pacific Ave, Long Beach, CA 90813 | 2006-04-27 |
| 1598780256 | Michael J Deluca | Psychiatry & Neurology | 1745 Pacific Ave, Long Beach, CA 90813 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841834694 | Vortex Mental Health | Psychiatry & Neurology | 1703 Termino Ave Ste 106, Long Beach, CA 90804-2126 | 2019-11-05 |
| 1376885293 | Mottsin Lawrence Thomas | Psychiatry & Neurology | 320 Pine Ave Ste 609, Long Beach, CA 90802-2310 | 2013-03-18 |
| 1538425772 | Asheena Lee | Psychiatry & Neurology | 444 W Ocean Blvd Ste 800, Long Beach, CA 90802-4529 | 2012-04-02 |
| 1275809618 | Maurice Anthony Wiggins | Psychiatry & Neurology | 3350 E 7th St Ste 229, Long Beach, CA 90804-5003 | 2012-03-29 |
| 1598903858 | Kamal Bijanpour | Psychiatry & Neurology | 3605 Long Beach Blvd Ste 304, Long Beach, CA 90807-6018 | 2009-01-25 |
| 1295971323 | Gus O Dixon Jr. | Psychiatry & Neurology | 412 Termino Ave, Long Beach, CA 90814-1764 | 2008-12-18 |
| 1588825327 | Mirou Pich Dom | Psychiatry & Neurology | 3224 Daisy Ave, Long Beach, CA 90806-1228 | 2008-06-24 |
| 1063681633 | Tracy Marie Chaffee | Psychiatry & Neurology | 5347 E 2nd St, Long Beach, CA 90803-5357 | 2008-02-27 |
| 1477738748 | William Antonio Alvarez | Psychiatry & Neurology | 525 Manila Ave, Long Beach, CA 90814-2026 | 2008-01-07 |
| 1982884904 | Jay Robert Lentzner | Psychiatry & Neurology | 1630 Park Ave Apt 5, Long Beach, CA 90815-3869 | 2007-11-07 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
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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.