THE CHILDREN'S CLINIC, SERVING CHILDREN AND THEIR FAMILIES (NPI# 1528245511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528245511 |
| Entity Type | Organization |
| Organization Name | THE CHILDREN'S CLINIC, SERVING CHILDREN AND THEIR FAMILIES |
| Practice Address |
730 W 3rd St Long Beach CA 90802-2745 |
| Mailing Address |
2801 Atlantic Ave Long Beach CA 90806-1701 |
| Practice Telephone | 5624355040 |
| Practice Fax Number | 5624355034 |
| Mailing Telephone | 5629330430 |
| Mailing Fax Number | 5629330415 |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |
| Authorized Official Name | DR. ELISA NICHOLAS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5629330430 |
| Authorized Official Credential | MD, MSPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HAP71089F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639334303 | The Children's Clinic, Serving Children and Their Families | Clinic/Center | 455 E Columbia St Ste 201&6, Long Beach, CA 90806-1620 | 2008-07-22 |
| 1710164702 | The Children's Clinic, Serving Children and Their Families | Clinic/Center | 455 E Columbia St Ste 201, Long Beach, CA 90806-1620 | 2008-01-22 |
| 1619154606 | The Children's Clinic, Serving Children and Their Families | Clinic/Center | 1060 E 70th St, Long Beach, CA 90805-1008 | 2008-01-22 |
| 1609053693 | The Children's Clinic, Serving Children and Their Families | Clinic/Center | 455 E Columbia St Ste 201, Long Beach, CA 90806-1620 | 2008-01-22 |
| 1538346523 | The Children's Clinic, Serving Children and Their Families | Clinic/Center | 1057 Pine Ave, Long Beach, CA 90813-3118 | 2008-01-22 |
| Street Address |
730 W 3RD ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90802-2745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306264635 | Vandara Chim | Nurse Practitioner | 730 W 3rd St, Long Beach, CA 90802-2745 | 2014-04-03 |
| 1881742856 | Marjorie C. Hsu-moon | Pediatrics | 730 W 3rd St, Long Beach, CA 90802-2745 | 2007-01-08 |
| 1962566265 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 730 W 3rd St, Long Beach, CA 90802-2745 | 2006-12-20 |
| 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 |
| Find all providers in zip 90802 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154803674 | Center for Family Health & Education Inc | Clinic/Center | 455 W Willow St, Long Beach, CA 90806-2843 | 2018-08-31 |
| 1811367709 | Apla Health & Wellness | Clinic/Center | 1043 Elm Ave Ste 302, Long Beach, CA 90813-3295 | 2015-10-05 |
| 1275917692 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 2000 San Gabriel Avenue, Long Beach, CA 90810 | 2015-07-15 |
| 1851775795 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 1574 Linden Ave, Long Beach, CA 90813-2032 | 2015-07-09 |
| 1578578290 | Coastal Family Health Center | Clinic/Center | Coastal Family Health Center, 5052 Ste A, Long Beach, MS 39560 | 2006-07-30 |
| 1881150548 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 1900 Atlantic Ave, Long Beach, CA 90806-5502 | 2019-02-18 |
| 1215493259 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 540 E Artesia Blvd, Long Beach, CA 90805-1476 | 2019-02-14 |
| 1902388424 | Center for Family Health & Education Inc | Clinic/Center | 306 E Pacific Coast Hwy Ste 101, Long Beach, CA 90806-6259 | 2018-08-31 |
| 1891247573 | Center for Family Health and Education Inc | Clinic/Center | 500 W Willow St, Long Beach, CA 90806-2831 | 2016-10-28 |
| 1467818583 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 1301 W 12th St, Long Beach, CA 90813-2720 | 2016-01-05 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90802 |
Please comment or provide details below to improve the information on THE CHILDREN'S CLINIC, SERVING CHILDREN AND THEIR FAMILIES.
| 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.