DR. PETER KANESHIGE


Address: 2110 N Bellflower Blvd, Long Beach, CA 90815-3126
Phone: 5623462222

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine G074280 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 2110 N BELLFLOWER BLVD
City LONG BEACH
State CA
Zip Code 90815-3126

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
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Competitor

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City LONG BEACH
Zip Code 90815

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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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