DEPARTMENT OF VETERANS AFFAIRS, VA LONG BEACH HEALTHCARE SYSTEM (NPI# 1225063704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225063704 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF VETERANS AFFAIRS, VA LONG BEACH HEALTHCARE SYSTEM |
| Practice Address |
5901 E 7th St Sci/d 07/128 Long Beach CA 90822-5201 |
| Practice Telephone | 5628265759 |
| Practice Fax Number | 5628265718 |
| Mailing Telephone | 5628265759 |
| Mailing Fax Number | 5628265718 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NANCY J LUNDBERG (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 5628265759 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QV0200X |
Clinic/Center Specialization: VA |
LCS19256 | CA | Ambulatory Health Care Facilities |
| X | 273Y00000X | Rehabilitation Unit | LCS19256 | CA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SOCIAL WORKER | V010100 | 01 |
| Street Address |
5901 E 7TH ST SCI/D 07/128 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90822-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386648731 | Suzanne Wickum | Optometrist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2005-06-13 |
| 1356949671 | Hyun-ji Chin | Pharmacist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-10-09 |
| 1497362610 | Marlin Thai | Pharmacist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-10-01 |
| 1972110179 | Christopher Jordan Odell | Physical Therapist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-09-30 |
| 1013524974 | Kristin Anne Dionisio Ignacio | Pharmacist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-09-24 |
| 1528674488 | Ashlynn Nicole Thomas | Dietitian, Registered | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-09-16 |
| 1144834573 | Hannah Elizabeth Cook | Social Worker | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-09-02 |
| 1417561051 | Chantal Herrera | Social Worker | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-09-01 |
| 1275147852 | Roxanna Vanessa Ayala Nieves | Social Worker | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-09-01 |
| 1740894419 | Wilmer Alejandro Rivas | Social Worker | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730654401 | Nicholas Brown | Psychologist | 5901 E. 7th Street (06/116b), Long Beach, CA 90822 | 2018-10-09 |
| 1194231027 | Liliana Jimenez | Social Worker | 5901 E. 7th St, Social Work Services, Long Beach, CA 90822 | 2017-12-14 |
| 1144621640 | James Edward Yadavaia IIi | Psychologist | 5901 E. 7th St. (06/116b), Long Beach, CA 90822 | 2014-09-16 |
| 1841600186 | Helen Ma | Internal Medicine | 5901 East 7th St, Long Beach, CA 90822 | 2014-05-07 |
| 1316374101 | Linda Jane Robles | Counselor | Va Healthcare Long Beach, 5901 E 7th Street, Long Beach, CA 90822 | 2013-10-11 |
| 1457783862 | Gretchen Louise Sholty | Psychologist | 5901 E. 7th St (06/116b), Long Beach, CA 90822 | 2013-08-08 |
| 1306278924 | Christopher Stephen Gentry | Nurse Practitioner | 2700 Bellflower Blvd, #112, Long Beach, CA 90822 | 2013-08-06 |
| 1639422009 | Vanessa Zizak | Clinical Neuropsychologist | Va Long Beach Healthcare System, 5901 East 7th St. Mailbox 116b, Long Beach, CA 90822 | 2012-10-22 |
| 1609166487 | Heather M. Shumway | Family Medicine | 5901 East Seventh St., Va Long Beach, Long Beach, CA 90822 | 2011-04-13 |
| 1376833277 | Michael R Lowder | Dentist | 5901 East Seventh St, Va Long Beach, Long Beach, CA 90822 | 2011-04-12 |
| Find all providers in zip 90822 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053362756 | Long Beach Vamc | Clinic/Center | 2001 River Ave, Building 28, Long Beach, CA 90810-3622 | 2006-05-15 |
| 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 |
| 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 | 90822 |
Please comment or provide details below to improve the information on DEPARTMENT OF VETERANS AFFAIRS, VA LONG BEACH HEALTHCARE SYSTEM.
| 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.