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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Long Beach VA Clinic | Other Name - Individual/Organization |
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 |
Street Address |
2001 RIVER AVE BUILDING 28 |
City | LONG BEACH |
State | CA |
Zip Code | 90810-3622 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 90810 |
Taxonomy Code | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | LONG BEACH |
Zip Code | 90810 |
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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.