STATE OF CALIFORNIA (NPI# 1639190606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639190606 |
| Entity Type | Organization |
| Organization Name | STATE OF CALIFORNIA |
| Other Organization Name | STUDENT HLTH SRVC CSU LONG BCH |
| Practice Address |
1250 N Bellflower Blvd Long Beach CA 90840-0004 |
| Practice Telephone | 5629851561 |
| Practice Fax Number | 5629858404 |
| Mailing Telephone | 5629851561 |
| Mailing Fax Number | 5629858404 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2010-04-23 |
| Authorized Official Name | KATHY CHEN (PHARMACY MANAGER) |
| Authorized Official Telephone | 5629851561 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
PHE14217 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0534974 | 01 | |
| CA | 142170 | 05 |
| Other Name | Type Code |
|---|---|
| STUDENT HLTH SRVC CSU LONG BCH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306114053 | State of California | Public Health or Welfare | 3000 West Cecil Ave., Delano, CA 93216-6000 | 2011-12-09 |
| 1316322647 | State of California | Custodial Care Facility | 21633 Avenue 24, Chowchilla, CA 93610-9650 | 2015-07-28 |
| 1366783169 | State of California | Psychiatric Hospital | 16756 Chino Corona Rd, Corona, CA 92595 | 2013-03-05 |
| 1285910729 | State of California | Skilled Nursing Facility | 1600 California Drive, Vacaville, CA 95687 | 2011-10-28 |
| 1114143690 | State of California | Pharmacy | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2007-04-17 |
| Street Address |
1250 N BELLFLOWER BLVD |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90840-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184234221 | Meghann Mccall-o'dell | Specialist/Technologist | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2020-08-04 |
| 1578172722 | Edith Kuet | Marriage & Family Therapist | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2020-07-23 |
| 1033731435 | Kholoud Khalil | Clinical Nurse Specialist | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2020-05-08 |
| 1609421486 | Nancy Solorzano | Social Worker | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2019-08-07 |
| 1073004305 | Christopher Snow | Specialist/Technologist | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2018-05-22 |
| 1518469378 | Micah Ebanculla | Student in an Organized Health Care Education/Training Program | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2018-03-07 |
| 1518469139 | Tyler Warren Huesca | Specialist/Technologist | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2018-02-28 |
| 1023518511 | Claire E Stovall | Specialist/Technologist | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2018-02-20 |
| 1528568318 | Jonathan Shinji Nakamine | Specialist/Technologist | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2018-02-19 |
| 1295235927 | Ysabel Ehryn Meris | Specialist/Technologist | 1250 N Bellflower Blvd, Long Beach, CA 90840 | 2018-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881972719 | Kathleen Elizabeth Hollwig | Marriage & Family Therapist | 101 Mail Street, Suite F, Seal Beach, CA 90840 | 2011-07-26 |
| 1538377056 | James Edward Koval | Marriage & Family Therapist | Family and Consumer Sciences, Csulb, Long Beach, CA 90840 | 2007-05-18 |
| 1710047220 | Rosemary Tilmon-kellum | Physician Assistant | 1250 Bellflower Blvd., Student Health Center, Long Beach, CA 90840 | 2006-12-12 |
| 1558993147 | Steven Ryan Tran | Physical Therapist | 1250 Bellflower Blvd, Kin-105, Long Beach, CA 90840 | 2020-02-11 |
| 1790286482 | Justin Caovan | Student in an Organized Health Care Education/Training Program | 1250 Bellflower Blvd, Long Beach, CA 90840 | 2018-02-27 |
| 1174006787 | Ryan Gray | Physical Therapist | 1250 Bellflower Blvd Kinesiology Building Rm 105, Long Beach, CA 90840-0001 | 2018-09-10 |
| 1457855421 | Gayle Early | Nurse Practitioner | 1250 Bellflower Blvd School of Nursing, Long Beach, CA 90840-0001 | 2018-03-22 |
| 1194293472 | Dmitry Foox | Physical Therapist | 1250 N Bellflower Blvd # Et130, Long Beach, CA 90840-0004 | 2018-11-05 |
| 1760542252 | Laurel Jean Babcock Gill | Nurse Practitioner | 1250 Bellflower Blvd, Shs, Long Beach, CA 90840-0201 | 2006-12-12 |
| 1700946209 | Michael Nicholas Carbuto | Family Medicine | 1250 Bellflower Blvd, Shs, Long Beach, CA 90840-0201 | 2006-12-12 |
| Find all providers in zip 90840 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114143690 | State of California | Pharmacy | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457906745 | Corrections and Rehabilitation | Pharmacy | 5th and Western Ave, Module M, Room #104, Norco, CA 92860 | 2019-08-05 |
| 1982169694 | Vikki Lam | Pharmacy | 757 Westwood Plz # B-504j, Los Angeles, CA 90095-8358 | 2019-02-06 |
| 1760827414 | Cedars-sinai Medical Center | Pharmacy | 127 S San Vicente Blvd Ste 2403, Los Angeles, CA 90048-3311 | 2013-05-08 |
| 1508105354 | Sutter Central Valley Hospitals | Pharmacy | 1420 N. Tracy Blvd., Tracy, CA 95376 | 2013-02-13 |
| 1649576364 | Wade J Dahlberg Sr | Pharmacy | 2697 Lavery Ct Ste 7, Newbury Park, CA 91320-1587 | 2011-01-27 |
| 1871898304 | Corrections and Rehabilitation | Pharmacy | 5100 O'byrnes Ferry Road, Attn: Pharmacy, Jamestown, CA 95327 | 2011-01-13 |
| 1437469202 | Institutional Pharmacy Solutions LLC | Pharmacy | 6520 N Irwindale Ave Ste 228, Irwindale, CA 91702-2867 | 2010-10-14 |
| 1851593560 | Belville Enterprises Inc | Pharmacy | 10140 Barnes Canyon Rd, San Diego, CA 92121-2724 | 2007-06-04 |
| 1306057229 | Detention's Facility Pharmacy | Pharmacy | 8525 Gibbs Dr Ste 101, San Diego, CA 92123-1758 | 2007-05-24 |
| 1407992019 | San Joaquin County | Pharmacy | 7000 Michael Canlis Way, French Camp, CA 95231-9781 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90840 |
Please comment or provide details below to improve the information on STATE OF CALIFORNIA.
| 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.