WEST COUNTY MEDICAL (NPI# 1568917466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568917466 |
| Entity Type | Organization |
| Organization Name | WEST COUNTY MEDICAL |
| Practice Address |
100 E Market St Long Beach CA 90805-5924 |
| Practice Telephone | 5624284222 |
| Practice Fax Number | 5624280372 |
| Mailing Telephone | 5624284222 |
| Mailing Fax Number | 5624280372 |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2016-08-20 |
| Authorized Official Name | SHARON LYNN ADAMS (DISPENSING NURSE) |
| Authorized Official Telephone | 5624284222 |
| Authorized Official Credential | LPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1946 | 05 |
| Street Address |
100 E MARKET ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90805-5924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750428496 | Felicitacion Sibayan Morris | Pediatrics | 100 E Market St, Long Beach, CA 90805-5924 | 2007-01-31 |
| 1740832088 | Cindy Urrutia | Licensed Vocational Nurse | 100 E Market St, Long Beach, CA 90805-5924 | 2019-07-16 |
| 1336791268 | Sharon Adams | Counselor | 100 E Market St, Long Beach, CA 90805-5924 | 2019-07-11 |
| 1144702218 | Sidney Walker | Counselor | 100 E Market St, Long Beach, CA 90805-5924 | 2018-09-05 |
| 1609322759 | Gabriel Cortes | Counselor | 100 E Market St, Long Beach, CA 90805-5924 | 2016-08-29 |
| 1750636643 | John David Derosa | Counselor | 100 E Market St, Long Beach, CA 90805-5924 | 2012-07-17 |
| 1942565700 | Cynthia Pizarro | Counselor | 100 E Market St, Long Beach, CA 90805-5924 | 2012-07-09 |
| 1154681245 | Eldorado Community Service Center | Clinic/Center | 100 E Market St, Long Beach, CA 90805-5924 | 2012-05-22 |
| 1801181987 | Rodolfo Rubio | Counselor | 100 E Market St, Long Beach, CA 90805-5924 | 2011-06-16 |
| 1700179520 | Perry Wagner | Counselor | 100 E Market St, Long Beach, CA 90805-5924 | 2011-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609369313 | American Indian Changing Spirits | Substance Abuse Rehabilitation Facility | 2120 W Williams St Bldg 3, Long Beach, CA 90810-3636 | 2018-06-08 |
| 1669907523 | Ashley Clary | Substance Abuse Rehabilitation Facility | 6621 Pacific Coast Highway, Long Beach, CA 90803 | 2017-04-27 |
| 1730623299 | Bpp Lb Recovery, LLC | Substance Abuse Rehabilitation Facility | 1535 E 1st St, Long Beach, CA 90802-5931 | 2016-12-16 |
| 1629439898 | Tranquility Counseling Services | Substance Abuse Rehabilitation Facility | 720 W 4th St Unit 404, Long Beach, CA 90802-2100 | 2016-03-15 |
| 1053784264 | Safe Refuge | Substance Abuse Rehabilitation Facility | 3113 E 7th St, Long Beach, CA 90804-4932 | 2015-11-10 |
| 1033582242 | Safe Refuge | Substance Abuse Rehabilitation Facility | 3115 E 7th St, Long Beach, CA 90804-4932 | 2015-11-10 |
| 1932572146 | Safe Refuge | Substance Abuse Rehabilitation Facility | 3119 E 7th St, Long Beach, CA 90804-4932 | 2015-11-10 |
| 1104299312 | Safe Refuge | Substance Abuse Rehabilitation Facility | 3131 E 7th St, Long Beach, CA 90804-4935 | 2015-11-10 |
| 1811360027 | Safe Refuge | Substance Abuse Rehabilitation Facility | 719 Obispo Ave, Long Beach, CA 90804-5028 | 2015-11-10 |
| 1386017598 | Safe Refuge | Substance Abuse Rehabilitation Facility | 727 Obispo Ave, Long Beach, CA 90804-5027 | 2015-11-10 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90805 |
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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.