BIXBY MEDICAL CENTER INC (NPI# 1861910515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861910515 |
| Entity Type | Organization |
| Organization Name | BIXBY MEDICAL CENTER INC |
| Practice Address |
3711 Long Beach Blvd Ste 200 Long Beach CA 90807-3319 |
| Practice Telephone | (562) 980-0555 |
| Mailing Telephone | 5629800555 |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2017-09-01 |
| Authorized Official Name | DR. DON QUI PHAM (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7863714455 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 20A14256 | CA | Ambulatory Health Care Facilities |
| Street Address |
3711 LONG BEACH BLVD STE 200 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-3319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215098231 | Yejin Kim | Chiropractor | 3711 Long Beach Blvd Ste 200, Long Beach, CA 90807 | 2006-12-13 |
| 1811488760 | Pacific Health Medical Clinic | Nurse Practitioner | 3711 Long Beach Blvd Ste 200, Long Beach, CA 90807 | 2018-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235772609 | Belmont Shore Wellness Center | Clinic/Center | 5237 E 2nd St, Long Beach, CA 90803-5326 | 2019-10-17 |
| 1699316349 | New Life Community Mental Health Center | Clinic/Center | 1040 Elm Ave Ste 208, Long Beach, CA 90813-3266 | 2019-10-03 |
| 1326557828 | Broderick Chiropractic Corporation | Clinic/Center | 3816 Woodruff Ave Ste 202, Long Beach, CA 90808-2145 | 2017-09-27 |
| 1912372517 | Richard Kaplan | Clinic/Center | 2235 Vuelta Grande Ave, Long Beach, CA 90815-2354 | 2015-12-08 |
| 1669812392 | The Roads Foundation, Inc | Clinic/Center | 4800 E Los Coyotes Diagonal, Long Beach, CA 90815-2827 | 2013-06-26 |
| 1336443548 | Chok P Wan Md Inc | Clinic/Center | 2153 Pacific Ave, Long Beach, CA 90806-4513 | 2011-01-03 |
| 1962642892 | Van Thuan Phat | Clinic/Center | 825 E Anaheim St, Long Beach, CA 90813-3550 | 2009-03-05 |
| 1053566224 | South Medical Clinic | Clinic/Center | 1530 E. South Street, Long Beach, CA 90805 | 2008-12-01 |
| 1568629103 | West Coast Orthopedics Inc | Clinic/Center | 3325 Palo Verde, Suite 205, Long Beach, CA 90808 | 2008-05-21 |
| 1073703252 | Special Service for Groups | Clinic/Center | 2501 Atlantic Ave, Long Beach, CA 90806-2708 | 2007-07-25 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
Please comment or provide details below to improve the information on BIXBY MEDICAL CENTER INC.
| 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.