MARY MARTHA MOLINA


Address: 200 Oceangate Ste 100, Long Beach, CA 90802-4317
Phone: 5624996191

MARY MARTHA MOLINA (NPI# 1487899092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487899092
Entity Type Individual
Full Name MARY MARTHA MOLINA
Other Name MARY MARTHA BERNADETT
Credential M.D.
Practice Address 200 Oceangate Ste 100
Long Beach
CA 90802-4317
Mailing Address 1627 E Anaheim St
Long Beach
CA 90813-3809
Practice Telephone 5624996191
Practice Fax Number 5624996171
Mailing Telephone 5624370373
Mailing Fax Number 5625919646
Enumeration Date 2008-12-10
Last Update Date 2008-12-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine G69817 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G698170 05

Other Providers MARY MOLINA

NPI Name Taxonomy Address Enumeration
1902230550 Mary L Molina Specialist 15840 Jewel Ave Apt 2k, Flushing, NY 11365-3038 2013-08-29
1053484550 Mary Molina Physician Assistant 2570 Jensen Ave Ste 106, Sanger, CA 93657-2269 2006-11-15

Office Location

Street Address 200 OCEANGATE STE 100
City LONG BEACH
State CA
Zip Code 90802-4317

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164421814 Valerie Green-amos Family Medicine 200 Oceangate Ste 100, Long Beach, CA 90802-4317 2005-07-15
1740830520 Candice Polochak Arrambide Registered Nurse 200 Oceangate Ste 100, Long Beach, CA 90802-4317 2019-09-13
1831747492 Emily Bishop Nurse Practitioner 200 Oceangate Ste 100, Long Beach, CA 90802-4317 2019-08-27
1669957593 Erin Ross Nurse Practitioner 200 Oceangate Ste 100, Long Beach, CA 90802-4317 2018-09-26
1700399524 Isis Alexandra Acosta Nurse Practitioner 200 Oceangate Ste 100, Long Beach, CA 90802-4317 2017-11-15
1497274625 Shemiah Meshai Sullivan Nurse Practitioner 200 Oceangate Ste 100, Long Beach, CA 90802-4317 2017-09-19
1699207522 Molina Healthcare Exclusive Provider Organization 200 Oceangate Ste 100, Long Beach, CA 90802-4317 2017-03-30
1407393903 Lynda Nkechi Aduba Nurse Practitioner 200 Oceangate Ste 100, Long Beach, CA 90802-4317 2017-01-23
1033547146 Molina Medical Group of New Mexico, PC Pediatrics 200 Oceangate Ste 100, Long Beach, CA 90802-4317 2013-10-29
1528409976 Lisa Marie Stibitz Nurse Practitioner 200 Oceangate Ste 100, Long Beach, CA 90802 2013-07-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255981791 Nena Danieles Meador Technician 505 West 5th St. Unit 201, Long Beach, CA 90802 2019-09-17
1881241487 Edward De La Cruz Technician 425 E 3rd St., 413, Long Beach, CA 90802 2019-08-20
1992350094 Kaitlyn May Saephan Student in an Organized Health Care Education/Training Program 200 Pine Avenue, Suite 400, Long Beach, CA 90802 2019-08-06
1073175881 David Coleman Counselor 735 West 4th St, Unit D, Long Beach, CA 90802 2019-07-01
1235612193 Linda Nyagaya Nurse Practitioner 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 2018-09-06
1669998670 Jessica Huerta Student in an Organized Health Care Education/Training Program 456 Elm, Long Beach, CA 90802 2017-08-22
1316462484 Kathlyn Pearl Parlet Counselor 351 E. 6th. Street, Long Beach, CA 90802 2017-08-09
1386168136 Shena Young Psychologist 404 East First St #1191, Long Beach, CA 90802 2017-08-02
1215472758 Vanessa Pons Marriage & Family Therapist 735 W 4th St Unit A, Long Beach, CA 90802 2016-12-19
1821459330 Surabhi Shah Occupational Therapist 330 Golden Shores, Suite 250, Long Beach, CA 90802 2016-03-10
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144852435 Clnica Uriel / Iradj Nazarian Md Family Medicine 1187 E Anaheim St, Long Beach, CA 90813-3662 2020-02-05
1104485887 Pmd Wellness Center Inc. Family Medicine Pmd Wellness Center Inc, 1187 E. Anaheim St., Long Beach, CA 90813-3663 2019-06-06
1699248674 Central Neighborhood Health Foundat Family Medicine 711 E Via Wanda, Long Beach, CA 90805-6526 2019-01-02
1629580337 Kathleen Legaspi Hoops Family Medicine 865 Lees Ave, Long Beach, CA 90815-5024 2017-11-02
1609222942 Prohealth Partners A Medical Group Family Medicine 3816 Woodruff Ave Ste 406, Long Beach, CA 90808-2146 2016-05-05
1083079289 Majestic Medical Clinic, Inc. Family Medicine 817 Atlantic Ave # 14, Long Beach, CA 90813-4512 2015-12-15
1336522788 Duc Nguyen Family Medicine 555 E Ocean Blvd Ste 110, Long Beach, CA 90802 2015-07-02
1356781132 Philip Kim Family Medicine 1729 Termino Ave Ste B, Long Beach, CA 90804-2121 2013-06-26
1881932168 Ronald Merton Sommer Family Medicine 1436 W. 23rd St., Westside Free Clinic, Long Beach, CA 90810 2013-01-22
1053693275 Michael James Miech Family Medicine 6301 Marina Pacifica Dr S, Long Beach, CA 90803-3821 2011-09-13
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Competitor

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City LONG BEACH
Zip Code 90802

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Dataset Information

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.

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