LONG BEACH MEMORIAL MEDICAL CENTER/MEMORIAL CHILDREN'S HOSPITAL (NPI# 1336238914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336238914 |
| Entity Type | Organization |
| Organization Name | LONG BEACH MEMORIAL MEDICAL CENTER/MEMORIAL CHILDREN'S HOSPITAL |
| Other Organization Name | MEMORIAL OB CLINIC |
| Practice Address |
2701 Atlantic Ave Suite B Long Beach CA 90806-2701 |
| Practice Telephone | 5629332998 |
| Practice Fax Number | 5629338080 |
| Mailing Telephone | 5629332998 |
| Mailing Fax Number | 5629338080 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JACQUELINE BARBOUR WHITE (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 5629332998 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 263890 | CA | Hospitals |
| Other Name | Type Code |
|---|---|
| MEMORIAL OB CLINIC | Other Name - Individual/Organization |
| Street Address |
2701 ATLANTIC AVE SUITE B |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215253687 | Kim Ung | Pharmacist | 2701 Atlantic Ave, Suite A, Long Beach, CA 90806-2701 | 2010-04-10 |
| 1417036195 | Katherine Kawakami Soubra | Nurse Practitioner | 2701 Atlantic Ave, Suite A, Long Beach, CA 90806-2701 | 2006-11-03 |
| 1033298773 | Jacqueline Barbour White | Physician Assistant | 2701 Atlantic Ave, Suite B, Long Beach, CA 90806-2701 | 2006-11-03 |
| 1063591576 | Jill E. Maiten | Nurse Practitioner | 2701 Atlantic Ave, Suite A, Long Beach, CA 90806-2701 | 2006-11-03 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285090944 | Va Long Beach Healthcare System | General Acute Care Hospital | 5901 E 7th St # 07128, Spinal Cord Injury Healthcare Group, Long Beach, CA 90822-5201 | 2016-01-11 |
| 1821226952 | University of California, Irvine | General Acute Care Hospital | 3802 Pine Ave, Long Beach, CA 90807-3234 | 2009-06-26 |
| 1700010865 | Va Long Beach Medical Center | General Acute Care Hospital | 5901 E. 7th St., Long Beach, CA 90822 | 2009-05-05 |
| 1205921947 | Joseph Felix Gonzalez | General Acute Care Hospital | 5901 E 7th Street, (116a2), Long Beach, CA 90822-5201 | 2006-10-04 |
| 1952872756 | Mwn Community Hospital, LLC | General Acute Care Hospital | 1720 Termino Avenue, Long Beach, CA 90804-2104 | 2018-12-06 |
| 1093246779 | Jasleen Kaur Khaira | General Acute Care Hospital | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2017-03-23 |
| 1427489483 | Roy Allan O Elevazo | General Acute Care Hospital | 5199 E Pacific Coast Hwy, Suite 330n, Long Beach, CA 90804-3302 | 2013-12-02 |
| 1619302569 | Va Long Beach | General Acute Care Hospital | 5901 E 7th St, Long Beach, CA 90822-5201 | 2013-09-11 |
| 1780017624 | Pacific Hospital of Long Beach | General Acute Care Hospital | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2013-08-14 |
| 1033552690 | Long Beach Medical Center | General Acute Care Hospital | 761 Franklin Blvd, Long Beach, NY 11561-2450 | 2013-04-14 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on LONG BEACH MEMORIAL MEDICAL CENTER/MEMORIAL CHILDREN'S HOSPITAL.
| 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.