KEITH MARTIN MULLINS (NPI# 1952367310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952367310 |
| Entity Type | Individual |
| Full Name | KEITH MARTIN MULLINS |
| Credential | MD |
| Practice Address |
2699 Atlantic Ave Long Beach CA 90806-2710 |
| Practice Telephone | 5624263333 |
| Mailing Telephone | 5624263333 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A70634 | CA | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 E Valencia Mesa Dr, Fullerton, CA 928353809 | 7144475027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992090906 | Keith E. Mullins | Internal Medicine | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2011-06-17 |
| Street Address |
2699 ATLANTIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033194485 | Sheila Ann Salamunovich | Pharmacist | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2005-12-08 |
| 1871149351 | Katherine K Tran | Pharmacist | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2019-08-12 |
| 1023508330 | Laura Sezonov | Pharmacist | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2018-05-11 |
| 1205384823 | Agnes Tan | Nurse Practitioner | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2016-09-12 |
| 1346654365 | Jana Zawadzki Longtine | Internal Medicine | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2014-06-18 |
| 1205240264 | Natasha Dang | Internal Medicine | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2014-06-18 |
| 1790198786 | Jeffrey Wu | Internal Medicine | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2014-06-06 |
| 1093009375 | Michele Lynn Eno | Obstetrics & Gynecology | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2011-06-04 |
| 1861718397 | Chau Lien Nguyen | Internal Medicine | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2010-04-08 |
| 1629215520 | James K Tam | Internal Medicine | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2009-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323681 | Samantha Dylan Schustek | Specialist | 414 E Chester St, Long Beach, NY 11561-2304 | 2019-12-11 |
| 1780234914 | Esther Maria Salorio | Specialist | 26 W Broadway Apt 603, Long Beach, NY 11561-4063 | 2019-09-19 |
| 1043867740 | Elizabeth Fichtelman | Specialist | 513 E Fulton St, Long Beach, NY 11561-2416 | 2019-08-19 |
| 1245886340 | Jennifer Kolonkowski | Specialist | 450 Shore Rd Apt 4m, Long Beach, NY 11561-5335 | 2019-08-14 |
| 1700431293 | Amy L Eisenberg | Specialist | 666 Shore Rd Apt 6m, Long Beach, NY 11561-4616 | 2019-08-02 |
| 1063948081 | Helene Rodway | Specialist | 360 Shore Rd Apt 10h, Long Beach, NY 11561-4381 | 2017-05-11 |
| 1053866699 | Breanne Day | Specialist | 65 W Broadway Apt 10g, Long Beach, NY 11561-4021 | 2016-08-24 |
| 1205286101 | Wendina Mon Pech | Specialist | 1050 E 17th St, Long Beach, CA 90813-2110 | 2016-06-21 |
| 1457708596 | Maggie Aline Lanctot | Specialist | 1906 E 1st St, 4b, Long Beach, CA 90802-6109 | 2016-05-18 |
| 1740635697 | Elizabeth Judith Cantwell | Specialist | 700 Shore Rd Apt 6a, Long Beach, NY 11561-4718 | 2016-04-28 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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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.