ST NAZARENE MEDICAL CLINIC INC (NPI# 1093966822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093966822 |
| Entity Type | Organization |
| Organization Name | ST NAZARENE MEDICAL CLINIC INC |
| Practice Address |
2403 Atlantic Ave Long Beach CA 90806-3221 |
| Practice Telephone | 5629890145 |
| Practice Fax Number | 5629892135 |
| Mailing Telephone | 5629890145 |
| Mailing Fax Number | 5629892135 |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2008-10-10 |
| Authorized Official Name | DR. SUZANNE L FUSSELL (PRESIDENT) |
| Authorized Official Telephone | 5629890145 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ST NAZARENE MEDICAL CLINIC INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A055383 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275714917 | St Nazarene Medical Clinic Inc | Clinic/Center | 1100 N Ventura Rd, Suite 109, Oxnard, CA 93030-3841 | 2007-11-23 |
| Street Address |
2403 ATLANTIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-3221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922397876 | Joseph Iwuajoku | Physician Assistant | 2403 Atlantic Ave, Long Beach, CA 90806-3221 | 2011-03-31 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740827898 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 1955 Long Beach Blvd Ste 150, Long Beach, CA 90806-5501 | 2019-12-09 |
| 1255671566 | Isaias De Guzman Paja Jr. Md Inc | Clinic/Center | 2491 Pacific Ave Ste 3, Long Beach, CA 90806-2900 | 2013-02-22 |
| 1871654160 | Maria Teresa Galarpe Pastor | Clinic/Center | 1703 Termino Ave. Suite 206, 206, Long Beach, CA 90804 | 2006-12-12 |
| 1174570949 | Willapa Counseling Center | Clinic/Center | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2006-05-27 |
| 1255386215 | Henrico V. Mungcal Md | Clinic/Center | 1937 Pacific Ave, Long Beach, CA 90806-5321 | 2006-05-24 |
| 1699201897 | H V Mungcal Md | Clinic/Center | 1937 Pacific Ave, Long Beach, CA 90806-5321 | 2017-05-08 |
| 1285055970 | Patricia A Maciog, Md | Clinic/Center | 6226 E Spring St, 240, Long Beach, CA 90815-1423 | 2013-12-23 |
| 1477898245 | Luke Family Medical Group Inc. | Clinic/Center | 904 E Pacific Coast Hwy, Long Beach, CA 90806-5626 | 2012-12-05 |
| 1154681245 | Eldorado Community Service Center | Clinic/Center | 100 E Market St, Long Beach, CA 90805-5924 | 2012-05-22 |
| 1568722890 | Eldorado Community Service Center | Clinic/Center | 2272 Pacific Ave, Suite A, Long Beach, CA 90806-4312 | 2012-05-21 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on ST NAZARENE MEDICAL CLINIC 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.