AMERICAN CARDIOCARE MEDICAL CENTER INC. (NPI# 1891039228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891039228 |
| Entity Type | Organization |
| Organization Name | AMERICAN CARDIOCARE MEDICAL CENTER INC. |
| Practice Address |
1125 Cherry Ave Long Beach CA 90813-3911 |
| Mailing Address |
Po Box 425 Lawndale CA 90260-0425 |
| Practice Telephone | 5625919000 |
| Mailing Telephone | 5625919000 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |
| Authorized Official Name | DR. JERRY A OKONKWOAGUOLU (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3104902322 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
FNP39403 | CA | Ambulatory Health Care Facilities |
| Street Address |
1125 CHERRY AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-3911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205874237 | Kintaudi & Associates Medical Group, Inc | Family Medicine | 1125 Cherry Ave, Long Beach, CA 90813-3911 | 2006-06-03 |
| 1912219635 | Centinela Medical Center of South Bay Inc. | Clinic/Center | 1125 Cherry Ave, Long Beach, CA 90813-3911 | 2010-07-10 |
| 1679773683 | Pathways To Life | Clinic/Center | 1125 Cherry Ave, Suite A, Long Beach, CA 90813-3911 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1457886236 | Orange County Professional Medical Group | Clinic/Center | 4103 N Viking Way, Suite D, Long Beach, CA 90808-1490 | 2017-04-28 |
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| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
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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.