THE CHILDREN'S CLINIC, SERVING CHILDREN AND THEIR FAMILIES (NPI# 1538346523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538346523 |
| Entity Type | Organization |
| Organization Name | THE CHILDREN'S CLINIC, SERVING CHILDREN AND THEIR FAMILIES |
| Practice Address |
1057 Pine Ave Long Beach CA 90813-3118 |
| Mailing Address |
2801 Atlantic Ave Long Beach CA 90806-1701 |
| Practice Telephone | 5623665900 |
| Practice Fax Number | 5623665920 |
| Mailing Telephone | 5629330430 |
| Mailing Fax Number | 5629330415 |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |
| Authorized Official Name | DR. ELISA NICHOLAS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5629330430 |
| Authorized Official Credential | MD, MSPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HAP70992F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639334303 | The Children's Clinic, Serving Children and Their Families | Clinic/Center | 455 E Columbia St Ste 201&6, Long Beach, CA 90806-1620 | 2008-07-22 |
| 1710164702 | The Children's Clinic, Serving Children and Their Families | Clinic/Center | 455 E Columbia St Ste 201, Long Beach, CA 90806-1620 | 2008-01-22 |
| 1619154606 | The Children's Clinic, Serving Children and Their Families | Clinic/Center | 1060 E 70th St, Long Beach, CA 90805-1008 | 2008-01-22 |
| 1609053693 | The Children's Clinic, Serving Children and Their Families | Clinic/Center | 455 E Columbia St Ste 201, Long Beach, CA 90806-1620 | 2008-01-22 |
| 1528245511 | The Children's Clinic, Serving Children and Their Families | Clinic/Center | 730 W 3rd St, Long Beach, CA 90802-2745 | 2008-01-22 |
| Street Address |
1057 PINE AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-3118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255495552 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 1057 Pine Ave, Long Beach, CA 90813-3118 | 2006-12-20 |
| 1831402833 | Jeffrey Chung Lee | Pediatrics | 1057 Pine Ave, Long Beach, CA 90813-3118 | 2010-07-19 |
| 1366690778 | Nancy Kazan | Nurse Practitioner | 1057 Pine Ave, Long Beach, CA 90813-3118 | 2008-08-28 |
| 1083809537 | Olga Lydia Guijon | Pediatrics | 1057 Pine Ave, Long Beach, CA 90813-3118 | 2007-09-07 |
| 1942411178 | Gina Evelyn Vescovo | Family Medicine | 1057 Pine Ave, Long Beach, CA 90813-3118 | 2007-05-28 |
| 1841315389 | Christina A Huckabay | Family Medicine | 1057 Pine Ave, Long Beach, CA 90813-3118 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154803674 | Center for Family Health & Education Inc | Clinic/Center | 455 W Willow St, Long Beach, CA 90806-2843 | 2018-08-31 |
| 1811367709 | Apla Health & Wellness | Clinic/Center | 1043 Elm Ave Ste 302, Long Beach, CA 90813-3295 | 2015-10-05 |
| 1275917692 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 2000 San Gabriel Avenue, Long Beach, CA 90810 | 2015-07-15 |
| 1851775795 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 1574 Linden Ave, Long Beach, CA 90813-2032 | 2015-07-09 |
| 1578578290 | Coastal Family Health Center | Clinic/Center | Coastal Family Health Center, 5052 Ste A, Long Beach, MS 39560 | 2006-07-30 |
| 1881150548 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 1900 Atlantic Ave, Long Beach, CA 90806-5502 | 2019-02-18 |
| 1215493259 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 540 E Artesia Blvd, Long Beach, CA 90805-1476 | 2019-02-14 |
| 1902388424 | Center for Family Health & Education Inc | Clinic/Center | 306 E Pacific Coast Hwy Ste 101, Long Beach, CA 90806-6259 | 2018-08-31 |
| 1891247573 | Center for Family Health and Education Inc | Clinic/Center | 500 W Willow St, Long Beach, CA 90806-2831 | 2016-10-28 |
| 1467818583 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 1301 W 12th St, Long Beach, CA 90813-2720 | 2016-01-05 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
Please comment or provide details below to improve the information on THE CHILDREN'S CLINIC, SERVING CHILDREN AND THEIR FAMILIES.
| 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.