PORT MEDICAL ASSOCIATE INC (NPI# 1992935639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992935639 |
| Entity Type | Organization |
| Organization Name | PORT MEDICAL ASSOCIATE INC |
| Other Organization Name | PORT MEDICAL LONG BEACH |
| Practice Address |
2530 Atlantic Ave Ste A Long Beach CA 90806-2741 |
| Mailing Address |
Po Box 6200 Long Beach CA 90806 |
| Practice Telephone | 5624264598 |
| Practice Fax Number | 5623183042 |
| Mailing Telephone | 5624264598 |
| Mailing Fax Number | 5623183042 |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2013-12-18 |
| Authorized Official Name | DR. KARIM A. SOLIMAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5624264598 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | FNP39177 | CA | Allopathic & Osteopathic Physicians |
| N | 171100000X | Acupuncturist | Other Service Providers | ||
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FICTITIOUS NAME PERMIT | FNP39177 | 01 |
| Other Name | Type Code |
|---|---|
| Port Medical Long Beach | Doing Business As Name - Organization |
| Street Address |
2530 ATLANTIC AVE STE A |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718350 | Provia Psychology, Inc. | Psychologist | 2530 Atlantic Ave Ste A, Long Beach, CA 90806-2741 | 2020-07-31 |
| 1760862643 | Stacia Deiro | Counselor | 2530 Atlantic Ave Ste A, Long Beach, CA 90806 | 2015-06-04 |
| 1164852380 | Lucas Chiropractic | Chiropractor | 2530 Atlantic Ave Ste A, Long Beach, CA 90806-2741 | 2013-11-25 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619460557 | Rosannara Chhun | General Practice | 1701 Cherry Ave, Long Beach, CA 90813-2519 | 2018-06-13 |
| 1447667357 | Right Choice Primary Care Walk-in Medical Office | General Practice | 303 E. Park Avenue Suite E, Long Beach, NY 11561 | 2014-07-14 |
| 1164740411 | Russell D. Miller | General Practice | 7160 Seawind Dr, Long Beach, CA 90803-4316 | 2010-05-12 |
| 1194967646 | George Louis Leonard | General Practice | 26 Scott Station Cv, Long Beach, MS 39560-3613 | 2009-03-30 |
| 1730333675 | Sylvia Waguih Hanna | General Practice | 500 W. Willow Street, Long Beach, CA 90806 | 2008-11-05 |
| 1295907137 | Brandon L Adams Md Ps | General Practice | 105 6th St, Long Beach, WA 98631 | 2008-04-01 |
| 1952583569 | Kailash Dhamija Walk In Medical Care A Medical Corporation | General Practice | 3760 Atlantic Ave # A, Long Beach, CA 90807-3409 | 2007-12-05 |
| 1447389085 | Robert Sheldon Pallas | General Practice | 1138 Palo Verde Ave, Long Beach, CA 90815-4664 | 2007-03-02 |
| 1063571834 | Adrienne Ann Grant | General Practice | 1777 N Bellflower Blvd Ste 107, Long Beach, CA 90815-4019 | 2006-12-08 |
| 1205913654 | Phac Van Vo | General Practice | 611 East Anaheim Street, Long Beach, CA 90813 | 2006-11-01 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on PORT MEDICAL ASSOCIATE 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.