ALAMITOS BEACH CITIES PODIATRY GROUP (NPI# 1255668976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255668976 |
| Entity Type | Organization |
| Organization Name | ALAMITOS BEACH CITIES PODIATRY GROUP |
| Practice Address |
304 Cherry Ave Long Beach CA 90802-3848 |
| Practice Telephone | 5624963846 |
| Practice Fax Number | 5624383690 |
| Mailing Telephone | 5624963846 |
| Mailing Fax Number | 5624383690 |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2009-11-17 |
| Authorized Official Name | DR. MIE SHIRAI (COO) |
| Authorized Official Telephone | 5624963846 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4826 | CA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
304 CHERRY AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90802-3848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912975434 | Richard Henry Graves IIi | Podiatrist | 304 Cherry Ave, Long Beach, CA 90802-3848 | 2006-03-10 |
| 1245684844 | Richard H Graves Dpm Inc | Podiatrist | 304 Cherry Ave, Long Beach, CA 90802-3848 | 2016-04-20 |
| 1982847232 | Mie Shirai | Podiatrist | 304 Cherry Ave, Long Beach, CA 90802-3848 | 2009-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981791 | Nena Danieles Meador | Technician | 505 West 5th St. Unit 201, Long Beach, CA 90802 | 2019-09-17 |
| 1881241487 | Edward De La Cruz | Technician | 425 E 3rd St., 413, Long Beach, CA 90802 | 2019-08-20 |
| 1992350094 | Kaitlyn May Saephan | Student in an Organized Health Care Education/Training Program | 200 Pine Avenue, Suite 400, Long Beach, CA 90802 | 2019-08-06 |
| 1073175881 | David Coleman | Counselor | 735 West 4th St, Unit D, Long Beach, CA 90802 | 2019-07-01 |
| 1235612193 | Linda Nyagaya | Nurse Practitioner | 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 | 2018-09-06 |
| 1669998670 | Jessica Huerta | Student in an Organized Health Care Education/Training Program | 456 Elm, Long Beach, CA 90802 | 2017-08-22 |
| 1316462484 | Kathlyn Pearl Parlet | Counselor | 351 E. 6th. Street, Long Beach, CA 90802 | 2017-08-09 |
| 1386168136 | Shena Young | Psychologist | 404 East First St #1191, Long Beach, CA 90802 | 2017-08-02 |
| 1215472758 | Vanessa Pons | Marriage & Family Therapist | 735 W 4th St Unit A, Long Beach, CA 90802 | 2016-12-19 |
| 1821459330 | Surabhi Shah | Occupational Therapist | 330 Golden Shores, Suite 250, Long Beach, CA 90802 | 2016-03-10 |
| Find all providers in zip 90802 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134382203 | Ryan Alloway Culver | Podiatrist | 801 Pine Ave Unit 207, Long Beach, CA 90813-5815 | 2008-07-08 |
| 1487837043 | Connie Wong, Dpm and Ki Sang Yi, Dpm Inc. | Podiatrist | 1703 Termino Ave Ste 103, Long Beach, CA 90804-2126 | 2007-12-06 |
| 1437282316 | Prohealth Partners, A Medical Group | Podiatrist | 901 E San Antonio Dr, Long Beach, CA 90807-2211 | 2007-03-13 |
| 1083742241 | Dennis R. Gumm | Podiatrist | 4508a Atlantic Ave, # A138, Long Beach, CA 90807-1513 | 2007-03-01 |
| 1558454264 | Pedram Aslmand | Podiatrist | 2840 Long Beach Blvd # 205, Long Beach, CA 90806-1516 | 2006-10-02 |
| 1205938735 | Robert Daniel Murphy | Podiatrist | 3816 Woodruff Ave Ste 410, Long Beach, CA 90808-2146 | 2006-09-04 |
| 1295704864 | Victoria M Foley | Podiatrist | 3747 Worsham Ave, Suite 201, Long Beach, CA 90808-1774 | 2006-03-16 |
| 1811558968 | Timothy J Brookes | Podiatrist | 2801 Atlantic Avenue, Long Beach, CA 90806 | 2019-06-27 |
| 1639730047 | Dana Brems | Podiatrist | 2865 Atlantic Ave, Long Beach, CA 90806-1740 | 2019-06-26 |
| 1902331705 | Joshua Paul Lisonbee | Podiatrist | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2017-04-29 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90802 |
Please comment or provide details below to improve the information on ALAMITOS BEACH CITIES PODIATRY GROUP.
| 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.