SPECIAL SERVICE FOR GROUPS (NPI# 1073703252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073703252 |
| Entity Type | Organization |
| Organization Name | SPECIAL SERVICE FOR GROUPS |
| Other Organization Name | CAA-ATLANTIC AVENUE |
| Practice Address |
2501 Atlantic Ave Long Beach CA 90806-2708 |
| Mailing Address |
605 W Olympic Blvd Suite 600 Los Angeles CA 90015-1400 |
| Practice Telephone | 5629881863 |
| Mailing Telephone | 2135531800 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | HERBERT HATANAKA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2135531800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CAA-Atlantic Avenue | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003060518 | Special Service for Groups | Clinic/Center | 5811 S San Pedro St, Los Angeles, CA 90011-5323 | 2008-11-11 |
| 1639391410 | Special Service for Groups | Community/Behavioral Health | 515 Columbia Ave Ste 310, Los Angeles, CA 90017-1209 | 2007-05-02 |
| 1518180348 | Special Service for Groups | Case Management | 1047 W 24th St, Los Angeles, CA 90007-1816 | 2007-04-10 |
| 1972625234 | Special Service for Groups | Clinic/Center | 231 E 3rd St, Suite G106, Los Angeles, CA 90013-1494 | 2007-04-05 |
| 1427170869 | Special Service for Groups | Case Management | 4801 2nd Ave, Los Angeles, CA 90043-1901 | 2007-04-05 |
| 1073635330 | Special Service for Groups | Case Management | 2125 Santa Fe Ave, Long Beach, CA 90810-3547 | 2007-04-05 |
| 1720100159 | Special Service for Groups | Clinic/Center | 9353 E Valley Blvd, Rosemead, CA 91770-1934 | 2007-04-05 |
| 1629190061 | Special Service for Groups | Clinic/Center | 8019 S. Compton Ave, Suite 106, Los Angeles, CA 90001-3409 | 2007-04-05 |
| 1104940584 | Special Service for Groups | Clinic/Center | 1040 E Wardlow Rd, Long Beach, CA 90807-4708 | 2007-03-19 |
| 1003947904 | Special Service for Groups | Clinic/Center | 1635 W Main St Ste 100, Alhambra, CA 91801-1951 | 2007-03-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SPECIAL SERVICE FOR GROUPS (SSG) | 905 E 8th St, Los Angeles, CA 90021-1848 |
| Street Address |
2501 ATLANTIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545031 | Anabelle Magana | Counselor | 2501 Atlantic Ave, Long Beach, CA 90806-2708 | 2020-10-14 |
| 1306444021 | Vanda Va | Counselor | 2501 Atlantic Ave, Long Beach, CA 90806-2708 | 2020-10-14 |
| 1073123154 | Bunry Horn | Counselor | 2501 Atlantic Ave, Long Beach, CA 90806-2708 | 2020-08-04 |
| 1467011130 | Kenneth Dsniel Freeman | Counselor | 2501 Atlantic Ave, Long Beach, CA 90806-2708 | 2019-06-06 |
| 1275091985 | Shonna R Hernandez | Counselor | 2501 Atlantic Ave, Long Beach, CA 90806-2708 | 2019-03-12 |
| 1942775770 | Bampenh Bob Khek | Rehabilitation Counselor | 2501 Atlantic Ave, Long Beach, CA 90806-2708 | 2018-10-08 |
| 1982179941 | Angelica Leyva | Counselor | 2501 Atlantic Ave, Long Beach, CA 90806-2708 | 2018-10-05 |
| 1992219208 | Beatriz Alcaraz | Counselor | 2501 Atlantic Ave, Long Beach, CA 90806-2708 | 2017-11-22 |
| 1659724870 | Sony Pream | Counselor | 2501 Atlantic Ave, Long Beach, CA 90806-2708 | 2016-07-22 |
| 1578916805 | Tony Mith | Counselor | 2501 Atlantic Ave, Long Beach, CA 90806-2708 | 2016-07-21 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235772609 | Belmont Shore Wellness Center | Clinic/Center | 5237 E 2nd St, Long Beach, CA 90803-5326 | 2019-10-17 |
| 1699316349 | New Life Community Mental Health Center | Clinic/Center | 1040 Elm Ave Ste 208, Long Beach, CA 90813-3266 | 2019-10-03 |
| 1326557828 | Broderick Chiropractic Corporation | Clinic/Center | 3816 Woodruff Ave Ste 202, Long Beach, CA 90808-2145 | 2017-09-27 |
| 1912372517 | Richard Kaplan | Clinic/Center | 2235 Vuelta Grande Ave, Long Beach, CA 90815-2354 | 2015-12-08 |
| 1669812392 | The Roads Foundation, Inc | Clinic/Center | 4800 E Los Coyotes Diagonal, Long Beach, CA 90815-2827 | 2013-06-26 |
| 1336443548 | Chok P Wan Md Inc | Clinic/Center | 2153 Pacific Ave, Long Beach, CA 90806-4513 | 2011-01-03 |
| 1962642892 | Van Thuan Phat | Clinic/Center | 825 E Anaheim St, Long Beach, CA 90813-3550 | 2009-03-05 |
| 1053566224 | South Medical Clinic | Clinic/Center | 1530 E. South Street, Long Beach, CA 90805 | 2008-12-01 |
| 1568629103 | West Coast Orthopedics Inc | Clinic/Center | 3325 Palo Verde, Suite 205, Long Beach, CA 90808 | 2008-05-21 |
| 1104940584 | Special Service for Groups | Clinic/Center | 1040 E Wardlow Rd, Long Beach, CA 90807-4708 | 2007-03-19 |
| 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.