LONG BEACH VAMC (NPI# 1700060845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700060845 |
| Entity Type | Organization |
| Organization Name | LONG BEACH VAMC |
| Other Organization Name | LAGUNA HILLS VA CLINIC |
| Practice Address |
23719 Moulton Pkwy Laguna Hills CA 92653-1913 |
| Mailing Address |
Po Box 94407 Cleveland OH 44101-4407 |
| Practice Telephone | 7023413152 |
| Mailing Telephone | 7023413152 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Laguna Hills VA CBOC | Other Name - Individual/Organization |
| LAGUNA HILLS VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396378030 | Long Beach Vamc | Clinic/Center | 1149 W 190th St Ste 100, Gardena, CA 90248-4321 | 2020-02-21 |
| 1538550694 | Long Beach Vamc | Clinic/Center | 888 West Santa Ana Blvd, Suite 150, Santa Ana, CA 92701-4592 | 2015-02-11 |
| 1841239712 | Long Beach Vamc | Clinic/Center | 10330 Pioneer Blvd Ste 180, Santa Fe Springs, CA 90670-6012 | 2006-06-06 |
| 1598703563 | Long Beach Vamc | Clinic/Center | 1506 Brookhollow Dr, Suite 100, Santa Ana, CA 92705-5405 | 2006-06-03 |
| 1053362756 | Long Beach Vamc | Clinic/Center | 2001 River Ave, Building 28, Long Beach, CA 90810-3622 | 2006-05-15 |
| 1699726851 | Long Beach Vamc | Clinic/Center | 2569 W Woodland Dr, Anaheim, CA 92801-2608 | 2006-05-12 |
| 1730549049 | Long Beach Vamc | Skilled Nursing Facility | 5901 E 7th St, Long Beach, CA 90822-5201 | 2016-02-29 |
| 1386041754 | Long Beach Vamc | Clinic/Center | 5901 E 7th St, Long Beach, CA 90822-5201 | 2014-12-01 |
| 1306090824 | Long Beach Vamc | Rehabilitation Hospital | 5901 E 7th St, Long Beach, CA 90822-5201 | 2008-11-11 |
| 1003866468 | Long Beach Vamc | General Acute Care Hospital | 5901 E 7th St, Long Beach, CA 90822-5201 | 2006-05-10 |
| Street Address |
23719 MOULTON PKWY |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659906147 | Rerhime Reri Uku | Nurse Practitioner | 23719 Moulton Pkwy, Laguna Hills, CA 92653-1913 | 2020-03-05 |
| 1326605122 | Denise Geralyn Villasenor | Social Worker | 23719 Moulton Pkwy, Laguna Hills, CA 92653-1913 | 2019-05-28 |
| 1699264069 | Kelsey Lynn Sergison | Dietitian, Registered | 23719 Moulton Pkwy, Laguna Hills, CA 92653-1913 | 2018-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396378030 | Long Beach Vamc | Clinic/Center | 1149 W 190th St Ste 100, Gardena, CA 90248-4321 | 2020-02-21 |
| 1841831617 | West Los Angeles Vamc | Clinic/Center | 7 W Foothill Blvd Ste D, Arcadia, CA 91006-2367 | 2019-10-03 |
| 1255972303 | William Loushion Mccollum | Clinic/Center | 831 Gulf Ave, Wilmington, CA 90744-4201 | 2019-09-30 |
| 1851943104 | Martinez Vamc | Clinic/Center | 11985 Heritage Oak Pl Ste 100, Auburn, CA 95603-2413 | 2019-07-16 |
| 1073064408 | Martinez Vamc | Clinic/Center | 2860 Howe Rd, Martinez, CA 94553-4000 | 2016-10-20 |
| 1548651516 | Loma Linda Vamc | Clinic/Center | 1273 W Hobsonway, Blythe, CA 92225-1423 | 2015-02-12 |
| 1538550694 | Long Beach Vamc | Clinic/Center | 888 West Santa Ana Blvd, Suite 150, Santa Ana, CA 92701-4592 | 2015-02-11 |
| 1780089847 | Yin Yang Health Care | Clinic/Center | 538 S Murphy Ave, Sunnyvale, CA 94086-6116 | 2014-10-30 |
| 1144638958 | Martinez Vamc | Clinic/Center | 101 East Oberlin Road, Yreka, CA 96097-9645 | 2014-07-24 |
| 1447523196 | Martinez Vamc | Clinic/Center | 425 Plumas Blvd, Yuba City, CA 95991-5074 | 2012-02-10 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
Please comment or provide details below to improve the information on LONG BEACH VAMC.
| 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.