LONG BEACH VAMC


Address: 2001 River Ave, Building 28, Long Beach, CA 90810-3622
Phone: 7023413152

LONG BEACH VAMC (NPI# 1053362756) 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) 1053362756
Entity Type Organization
Organization Name LONG BEACH VAMC
Other Organization Name LONG BEACH VA CLINIC
Practice Address 2001 River Ave
Building 28
Long Beach
CA 90810-3622
Mailing Address Po Box 94407
Cleveland
OH 44101-4407
Practice Telephone 7023413152
Mailing Telephone 7023413152
Enumeration Date 2006-05-15
Last Update Date 2017-11-01
Authorized Official Name MS. ERIN POTTER (NPI TEAM MEMBER)
Authorized Official Telephone 2023822579
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Long Beach VA Clinic Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1396378030 Long Beach Vamc Clinic/Center 1149 W 190th St Ste 100, Gardena, CA 90248-4321 2020-02-21
1538550694 Long Beach Vamc Clinic/Center 888 West Santa Ana Blvd, Suite 150, Santa Ana, CA 92701-4592 2015-02-11
1700060845 Long Beach Vamc Clinic/Center 23719 Moulton Pkwy, Laguna Hills, CA 92653-1913 2007-12-26
1841239712 Long Beach Vamc Clinic/Center 10330 Pioneer Blvd Ste 180, Santa Fe Springs, CA 90670-6012 2006-06-06
1598703563 Long Beach Vamc Clinic/Center 1506 Brookhollow Dr, Suite 100, Santa Ana, CA 92705-5405 2006-06-03
1699726851 Long Beach Vamc Clinic/Center 2569 W Woodland Dr, Anaheim, CA 92801-2608 2006-05-12
1730549049 Long Beach Vamc Skilled Nursing Facility 5901 E 7th St, Long Beach, CA 90822-5201 2016-02-29
1386041754 Long Beach Vamc Clinic/Center 5901 E 7th St, Long Beach, CA 90822-5201 2014-12-01
1306090824 Long Beach Vamc Rehabilitation Hospital 5901 E 7th St, Long Beach, CA 90822-5201 2008-11-11
1003866468 Long Beach Vamc General Acute Care Hospital 5901 E 7th St, Long Beach, CA 90822-5201 2006-05-10

Office Location

Street Address 2001 RIVER AVE
BUILDING 28
City LONG BEACH
State CA
Zip Code 90810-3622

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619576832 Georgina Phelps Occupational Therapist 2001 River Ave, Long Beach, CA 90810-3622 2020-10-19
1932651197 Us Veteran's Initiative, Long Beach Substance Abuse Rehabilitation Facility 2001 River Ave, Long Beach, CA 90810-3622 2016-11-03
1053767418 Jaqueline Mccaster Social Worker 2001 River Ave, Long Beach, CA 90810-3622 2016-05-04
1407210271 Tanisha Michele Amaya Social Worker 2001 River Ave, Long Beach, CA 90810-3622 2016-04-07
1598129553 Kelli Hill Case Manager/Care Coordinator 2001 River Ave, Long Beach, CA 90810-3622 2016-04-06
1811350945 Dawn Mecias Social Worker 2001 River Ave, Long Beach, CA 90810-3622 2016-04-05
1639531155 Rene Ceballos Case Manager/Care Coordinator 2001 River Ave, Long Beach, CA 90810-3622 2016-03-23
1639531163 Kevin Matthews Social Worker 2001 River Ave, Long Beach, CA 90810-3622 2016-03-23
1851752919 Allyson Coats Case Manager/Care Coordinator 2001 River Ave, Long Beach, CA 90810-3622 2016-03-16
1154782555 David Bailey Social Worker 2001 River Ave, Long Beach, CA 90810-3622 2016-03-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013567262 Arsenia Morante Ramos Technician 1928 W Lincoln Street, Long Beach, CA 90810 2019-09-18
1992263867 Yesenia Llerenas Counselor Children's Institute Inc, 1500 Hughes Way #100, Long Beach, CA 90810 2019-03-08
1649746215 Cassandra Whitney Dewey Counselor 2120 W. Williams Street, Long Beach, CA 90810 2018-10-22
1497204028 Jose Carlos Garcia Dental Assistant 2636 E Dominguez St, Long Beach, CA 90810 2016-09-23
1255706560 Sabrina Navarro Rehabilitation Practitioner 1501 Hughles Way, Suite 150, Long Beach, CA 90810 2015-12-11
1275917692 The Childrens Clinic 'serving Children and Their Families' Clinic/Center 2000 San Gabriel Avenue, Long Beach, CA 90810 2015-07-15
1881932168 Ronald Merton Sommer Family Medicine 1436 W. 23rd St., Westside Free Clinic, Long Beach, CA 90810 2013-01-22
1619241601 Vander J. Dale Jr. Counselor 2090 River Avenue, Long Beach, CA 90810 2012-03-08
1205125606 Maria Anna Castillo Tejada Physical Therapist 2679 N La Vere Dr, Long Beach, CA 90810 2011-04-06
1386973436 Roosevelt Williams Jr. Physical Therapy Assistant 6444 East Spring St, # 247, Long Beach, CA 90810 2009-12-21
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Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356954101 Michelle Angela Martinez Clinic/Center 5901 E 7th St, Long Beach, CA 90822-5201 2020-08-30
1386041754 Long Beach Vamc Clinic/Center 5901 E 7th St, Long Beach, CA 90822-5201 2014-12-01
1225063704 Department of Veterans Affairs, Va Long Beach Healthcare System Clinic/Center 5901 E 7th St, Sci/d 07/128, Long Beach, CA 90822-5201 2006-07-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396378030 Long Beach Vamc Clinic/Center 1149 W 190th St Ste 100, Gardena, CA 90248-4321 2020-02-21
1841831617 West Los Angeles Vamc Clinic/Center 7 W Foothill Blvd Ste D, Arcadia, CA 91006-2367 2019-10-03
1255972303 William Loushion Mccollum Clinic/Center 831 Gulf Ave, Wilmington, CA 90744-4201 2019-09-30
1851943104 Martinez Vamc Clinic/Center 11985 Heritage Oak Pl Ste 100, Auburn, CA 95603-2413 2019-07-16
1073064408 Martinez Vamc Clinic/Center 2860 Howe Rd, Martinez, CA 94553-4000 2016-10-20
1548651516 Loma Linda Vamc Clinic/Center 1273 W Hobsonway, Blythe, CA 92225-1423 2015-02-12
1538550694 Long Beach Vamc Clinic/Center 888 West Santa Ana Blvd, Suite 150, Santa Ana, CA 92701-4592 2015-02-11
1780089847 Yin Yang Health Care Clinic/Center 538 S Murphy Ave, Sunnyvale, CA 94086-6116 2014-10-30
1144638958 Martinez Vamc Clinic/Center 101 East Oberlin Road, Yreka, CA 96097-9645 2014-07-24
1447523196 Martinez Vamc Clinic/Center 425 Plumas Blvd, Yuba City, CA 95991-5074 2012-02-10
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Competitor

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City LONG BEACH
Zip Code 90810

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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