DR. PETER KANESHIGE (NPI# 1508972910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508972910 |
| Entity Type | Individual |
| Full Name | DR. PETER KANESHIGE |
| Credential | M.D. |
| Practice Address |
2110 N Bellflower Blvd Long Beach CA 90815-3126 |
| Mailing Address |
17360 Brookhurst St Attn: Credentialing Dept. Fountain Valley CA 92708-3720 |
| Practice Telephone | 5623462222 |
| Practice Fax Number | 5625468210 |
| Mailing Fax Number | 7146654662 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2016-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G074280 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2110 N BELLFLOWER BLVD |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90815-3126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205835840 | Ben-hwa Hu | Emergency Medicine | 2110 N Bellflower Blvd, Long Beach, CA 90815-3126 | 2005-07-15 |
| 1710456033 | Lauren Hartman | Physician Assistant | 2110 N Bellflower Blvd, Long Beach, CA 90815-3126 | 2018-11-15 |
| 1306342860 | Elizabeth Tirpak | Nurse Practitioner | 2110 N Bellflower Blvd, Long Beach, CA 90815-3126 | 2018-04-03 |
| 1124555842 | Sungjin Kuon | Family Medicine | 2110 N Bellflower Blvd, Long Beach, CA 90815-3126 | 2017-05-12 |
| 1619417060 | Bryan Bowman | Registered Nurse | 2110 N Bellflower Blvd, Long Beach, CA 90815-3126 | 2017-03-05 |
| 1497205462 | Tawnie Thao Cao | Physician Assistant | 2110 N Bellflower Blvd, Long Beach, CA 90815-3126 | 2016-10-13 |
| 1528412103 | Cameron Lee | Family Medicine | 2110 N Bellflower Blvd, Long Beach, CA 90815-3126 | 2016-04-20 |
| 1225406333 | Carol Rose Vasquez | Nurse Practitioner | 2110 N Bellflower Blvd, Long Beach, CA 90815-3126 | 2015-09-04 |
| 1144615642 | Amy Ni | Family Medicine | 2110 N Bellflower Blvd, Long Beach, CA 90815 | 2015-04-01 |
| 1588084081 | Sarah Fang | Family Medicine | 2110 N Bellflower Blvd, Long Beach, CA 90815-3126 | 2014-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596745 | Fatima A. Hernandez | Technician | 2846 N Greenbrier Road, Long Beach, CA 90815 | 2019-09-09 |
| 1376027938 | Abigail Joy Dominguez | Social Worker | 2725 Hackett Ave, Long Beach, CA 90815 | 2018-09-19 |
| 1790271716 | The North Star Center for Marriage and Family Therapy, Inc. | Counselor | Faith Recovery, 2211 Suite C Palo Verde Ave, Long Beach, CA 90815 | 2018-07-02 |
| 1639600844 | Melissa Suzanne Fitzgerald | Nurse Practitioner | 6510 E. Spring Street, Spring Family Medical Group, Long Beach, CA 90815 | 2017-03-21 |
| 1588102818 | Jeff Clement | Registered Nurse | 1824 Stearnlee Avenue, Long Beach, CA 90815 | 2017-02-07 |
| 1376923524 | Edward Carl Woerz | Surgery | 5640 E. Las Lomas St., L.b., CA 90815 | 2015-06-03 |
| 1558765107 | Kendall Cheney Perez | Social Worker | 4142 E Mendez St Unit 433, Long Beach, CA 90815 | 2014-10-10 |
| 1689087769 | Nellie Grace Bell, Ma, Inc. | Marriage & Family Therapist | 6200 E. Spring St., Suite G, Long Beach, CA 90815 | 2014-06-06 |
| 1245652270 | Nguyen and Ghazal Dental Corporation | Dentist | 5533-a East Stearns Street, Long Beach, CA 90815 | 2014-01-10 |
| 1306267182 | Marcia Freeman | Licensed Practical Nurse | 2250 Grand Ave, Long Beach, CA 90815 | 2013-12-23 |
| Find all providers in zip 90815 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1013533637 | Ochsner Mississippi, LLC | Internal Medicine | 111 N Cleveland Ave, Long Beach, MS 39560-4713 | 2020-06-19 |
| 1679102248 | Revitalize Life Center A PC | Internal Medicine | 3939 Atlantic Ave Ste 100, Long Beach, CA 90807-3529 | 2020-04-06 |
| 1144864992 | Jonathan Nguyen Medical Clinic Inc | Internal Medicine | 555 E Pacific Coast Hwy Ste 102, Long Beach, CA 90806-5579 | 2019-11-05 |
| 1497251060 | Tak Lun Lau | Internal Medicine | 1101 El Mirador Ave, Long Beach, CA 90815-4422 | 2018-04-03 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1174972012 | Diego Ivan Kriger | Internal Medicine | 3816 Woodruff Ave Ste 412, Long Beach, CA 90808-2146 | 2016-06-10 |
| 1437537644 | Samaritana Medical Clinic Long Beach Inc | Internal Medicine | 1052 Atlantic Ave, Long Beach, CA 90813-3403 | 2015-05-08 |
| 1841600186 | Helen Ma | Internal Medicine | 5901 East 7th St, Long Beach, CA 90822 | 2014-05-07 |
| 1700200938 | Neil H Caplan | Internal Medicine | 27 W Penn St, Long Beach, NY 11561-4003 | 2014-02-07 |
| 1093157596 | Concepcion A Enriquez | Internal Medicine | 3377 Long Beach Blvd, Long Beach, CA 90807-4408 | 2013-07-24 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90815 |
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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.