VA HOSPITAL - LONG BEACH (NPI# 1770839482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770839482 |
| Entity Type | Organization |
| Organization Name | VA HOSPITAL - LONG BEACH |
| Practice Address |
2090 River Avenue Long Beach CA 90810 |
| Mailing Address |
5901 East 7th St. Long Beach CA 90822 |
| Practice Telephone | 5628268470 |
| Practice Fax Number | 5628268485 |
| Mailing Telephone | 5628268000 |
| Mailing Fax Number | 5628268485 |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |
| Authorized Official Name | VANDER J DALE JR. (SOCIAL WORKER) |
| Authorized Official Telephone | 5628268470 |
| Authorized Official Credential | LMSW, LCAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | Hospitals |
| Street Address |
2090 RIVER AVENUE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619241601 | Vander J. Dale Jr. | Counselor | 2090 River Avenue, Long Beach, CA 90810 | 2012-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013567262 | Arsenia Morante Ramos | Technician | 1928 W Lincoln Street, Long Beach, CA 90810 | 2019-09-18 |
| 1992263867 | Yesenia Llerenas | Counselor | Children's Institute Inc, 1500 Hughes Way #100, Long Beach, CA 90810 | 2019-03-08 |
| 1649746215 | Cassandra Whitney Dewey | Counselor | 2120 W. Williams Street, Long Beach, CA 90810 | 2018-10-22 |
| 1497204028 | Jose Carlos Garcia | Dental Assistant | 2636 E Dominguez St, Long Beach, CA 90810 | 2016-09-23 |
| 1255706560 | Sabrina Navarro | Rehabilitation Practitioner | 1501 Hughles Way, Suite 150, Long Beach, CA 90810 | 2015-12-11 |
| 1275917692 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 2000 San Gabriel Avenue, Long Beach, CA 90810 | 2015-07-15 |
| 1881932168 | Ronald Merton Sommer | Family Medicine | 1436 W. 23rd St., Westside Free Clinic, Long Beach, CA 90810 | 2013-01-22 |
| 1205125606 | Maria Anna Castillo Tejada | Physical Therapist | 2679 N La Vere Dr, Long Beach, CA 90810 | 2011-04-06 |
| 1386973436 | Roosevelt Williams Jr. | Physical Therapy Assistant | 6444 East Spring St, # 247, Long Beach, CA 90810 | 2009-12-21 |
| 1447491980 | Renee Pagal Alsisto-pagatpatan | Physician Assistant | 1339 W. Willow Street, Long Beach, CA 90810 | 2009-03-12 |
| Find all providers in zip 90810 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801239694 | Va Long Beach | Military Hospital | 5901 E 7th St, Long Beach, CA 90822-5201 | 2013-04-10 |
| 1891923819 | Long Beach Va | Military Hospital | 5901 E 7th St, Long Beach, CA 90822-5201 | 2009-06-29 |
| 1679737464 | Va Long Beach Healthcare System | Military Hospital | 5901 E 7th St, 11/111p, Long Beach, CA 90822-5201 | 2008-07-11 |
| 1417147893 | Veterans Afairs | Military Hospital | 5901 E 7th St, Long Beach, CA 90822-5201 | 2007-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508477258 | Micol Paul Zabala | Military Hospital | 3675 Lofberg St, San Diego, CA 92124-3221 | 2020-08-14 |
| 1801333992 | Us Navy | Military Hospital | 1752 Trellis Way, Chula Vista, CA 91915 | 2017-01-26 |
| 1245785179 | Va Medical Center | Military Hospital | 5939 Cedros Ave Apt A, Van Nuys, CA 91411-3104 | 2016-08-21 |
| 1831563535 | Dfas-cl/jflp | Military Hospital | Mpmd 01c, Box 555191, Camp Pendleton, CA 92055-5191 | 2015-11-18 |
| 1851707418 | Hand of Passion | Military Hospital | 2112 Century Park Ln Unit 218, Century City, CA 90067-3314 | 2014-07-03 |
| 1396156527 | Jonathan Kawi | Military Hospital | 8848 Corvus Pl, San Diego, CA 92126-1921 | 2014-05-09 |
| 1427302017 | Department of Va | Military Hospital | 1585 Trailwood Ave, Chula Vista, CA 91913-2994 | 2012-11-03 |
| 1790056372 | U. S. Navy | Military Hospital | 3423 Guadalcanal Rd, Bldg 401 2nd Deck, San Diego, CA 92155-5000 | 2012-01-13 |
| 1962770990 | Alma Irene Blackman | Military Hospital | 9119 Jamacha Rd, 149, Spring Valley, CA 91977-4162 | 2011-12-05 |
| 1841596301 | Va San Diego Healthcare System | Military Hospital | 4260 Porte De Palmas Unit 60, San Diego, CA 92122-5159 | 2011-02-01 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90810 |
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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.