DIGNITY HEALTH


Address: 1045 Atlantic Ave, Suite 708, Long Beach, CA 90813-3408
Phone: 5624919045

DIGNITY HEALTH (NPI# 1962527390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962527390
Entity Type Organization
Organization Name DIGNITY HEALTH
Other Organization Name FAMILY CLINIC OF LONG BEACH
Practice Address 1045 Atlantic Ave
Suite 708
Long Beach
CA 90813-3408
Practice Telephone 5624919045
Practice Fax Number 5624919353
Mailing Telephone 5624919189
Mailing Fax Number 5624919513
Enumeration Date 2007-03-21
Last Update Date 2012-11-29
Authorized Official Name HAROLD WAY (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 5624919929
Is Organization Subpart Y
Parent Organization Name DIGNITY HEALTH

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
960001055 CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA IRS 870692255 01
CA CMM70774G 05

Other Provider/Organization Names

Other Name Type Code
Family Clinic of Long Beach Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1265065445 Dignity Health Clinic/Center 4975 N Dysart Rd Ste 100, Litchfield Park, AZ 85340-3087 2020-02-17
1609408665 Dignity Health Clinic/Center 17040 N 51st Ave Ste 100, Glendale, AZ 85308-1496 2020-02-07
1134687734 Dignity Health Clinic/Center 2340 Liberty Pkwy Ste 200, Red Bluff, CA 96080-4350 2019-03-04
1528560794 Dignity Health Community/Behavioral Health 1211 S Hobart Blvd, Los Angeles, CA 90006-3113 2018-03-05
1598264053 Dignity Health Community/Behavioral Health 1852 W Imperial Hwy, Los Angeles, CA 90047 2018-02-09
1073942009 Dignity Health Clinic/Center 1900 Railroad Ave, Redding, CA 96001-1802 2013-11-12
1992131734 Dignity Health General Acute Care Hospital 7300 N 99th Ave, Glendale, AZ 85305-1400 2013-09-25
1720358039 Dignity Health Neurological Surgery 800 N Gibson Rd Ste 101, Henderson, NV 89011 2012-01-03
1922276237 Dignity Health Hospice Care, Community Based 1600 D St, Suite 202, Bakersfield, CA 93301-5329 2008-02-20
1780807248 Dignity Health General Acute Care Hospital 2102 N California St, Stockton, CA 95204-6031 2007-04-11

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities DIGNITY HEALTH 185 Berry St Ste 300, San Francisco, CA 94107-1773
New York State Corporations DIGNITY HEALTH 99 Washington Ave Suite 1008, Albany, Ny 12260
Colorado Business Entities Dignity Health at Home, LLC 12745 Utica Circle, Broomfield, CO 80020
System for Award Management (SAM) Entities DIGNITY HEALTH FOUNDATION 185 Berry Street, Suite 300, San Francisco, CA 94107-1773
System for Award Management (SAM) Entities DIGNITY HEALTH MEDICAL FOUNDATION 3400 Data Dr, Rancho Cordova, CA 95670-7956
Colorado Business Entities Dignity Health Purchasing Network, LLC 198 Inverness Drive West, Englewood, CO 80112
System for Award Management (SAM) Entities DIGNITY HEALTHCARE, LLC 535 N Park St, Uvalde, TX 78801-4363

Office Location

Street Address 1045 ATLANTIC AVE
SUITE 708
City LONG BEACH
State CA
Zip Code 90813-3408

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841294733 Merrill M Knopf Ophthalmology 1045 Atlantic Ave, Ste 1007, Long Beach, CA 90813-3413 2005-06-08
1760928329 Ps Ahuja Dental Corp Dentist 1045 Atlantic Ave, Ste 602, Long Beach, CA 90813-3408 2017-01-06
1821448028 Cardiovascular Innovation and Research Center Inc Internal Medicine 1045 Atlantic Ave, Suite 611, Long Beach, CA 90813-3408 2016-06-17
1285007419 St. Mary Medical Center Clinic/Center 1045 Atlantic Ave, Suite 914, Long Beach, CA 90813-3408 2015-11-10
1508289158 Healthy Foundations Medical Group Pediatrics 1045 Atlantic Ave, Ste 715, Long Beach, CA 90813-3408 2014-01-31
1649513961 American Pacific Medical Group Inc Internal Medicine 1045 Atlantic Ave, Suite 902, Long Beach, CA 90813-3408 2013-04-04
1235436023 Janet Do Pediatrics 1045 Atlantic Ave, #605, Long Beach, CA 90813-3408 2011-02-15
1578864211 Amar S Kapoor M D Inc Internal Medicine 1045 Atlantic Ave, Suite 611, Long Beach, CA 90813-3408 2010-11-11
1063720324 Coreen Marie Correa Nurse Practitioner 1045 Atlantic Ave, 508, Long Beach, CA 90813-3408 2010-09-21
1790002236 Michael O Liff Md Inc Internal Medicine 1045 Atlantic Ave, Suite 902, Long Beach, CA 90813-3408 2010-04-23
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750537437 West County Medical Corporation Clinic/Center 2272 Pacific Avenue, Long Beach, CA 90806 2008-08-13
1720109341 Obria Medical Clinics of Southern California, Inc. Clinic/Center 261 E Willow St, Suite C, Long Beach, CA 90806-2637 2007-04-02
1942345939 The Childrens Clinic 'serving Children and Their Families' Clinic/Center 1301 W 12th St, Long Beach, CA 90813-2720 2007-02-20
1033254024 The Childrens Clinic 'serving Children and Their Families' Clinic/Center 700 Locust Ave, Long Beach, CA 90813-4317 2007-02-20
1255495552 The Childrens Clinic 'serving Children and Their Families' Clinic/Center 1057 Pine Ave, Long Beach, CA 90813-3118 2006-12-20
1699839993 The Childrens Clinic 'serving Children and Their Families' Clinic/Center 1060 E 70th St, Long Beach, CA 90805-1008 2006-12-20
1669561890 Planned Parenthood Los Angeles Clinic/Center 2690 Pacific Avenue, Suite 370, Long Beach, CA 90806-2661 2006-10-12
1447865415 Southern California Medical Center, Inc. Clinic/Center 1627 E Anaheim St, Long Beach, CA 90813-3809 2020-09-15
1336787357 Dan Feldman Rd LLC Clinic/Center 68 Barnes St, Long Beach, NY 11561-2615 2019-12-20
1295205482 Quiclinics Medical Partners Clinic/Center 1075 E Pacific Coast Hwy, Long Beach, CA 90806-5089 2018-11-29
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Competitor

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City LONG BEACH
Zip Code 90813

Improve Information

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Dataset Information

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.

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