LONG BEACH VAMC (NPI# 1699726851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699726851 |
| Entity Type | Organization |
| Organization Name | LONG BEACH VAMC |
| Other Organization Name | ANAHEIM VA CLINIC |
| Practice Address |
2569 W Woodland Dr Anaheim CA 92801-2608 |
| Mailing Address |
Po Box 94407 Cleveland OH 44101-4407 |
| Practice Telephone | 7023413152 |
| Mailing Telephone | 7023413152 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2017-11-01 |
| Authorized Official Name | MS. ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Anaheim VA Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396378030 | Long Beach Vamc | Clinic/Center | 1149 W 190th St Ste 100, Gardena, CA 90248-4321 | 2020-02-21 |
| 1538550694 | Long Beach Vamc | Clinic/Center | 888 West Santa Ana Blvd, Suite 150, Santa Ana, CA 92701-4592 | 2015-02-11 |
| 1700060845 | Long Beach Vamc | Clinic/Center | 23719 Moulton Pkwy, Laguna Hills, CA 92653-1913 | 2007-12-26 |
| 1841239712 | Long Beach Vamc | Clinic/Center | 10330 Pioneer Blvd Ste 180, Santa Fe Springs, CA 90670-6012 | 2006-06-06 |
| 1598703563 | Long Beach Vamc | Clinic/Center | 1506 Brookhollow Dr, Suite 100, Santa Ana, CA 92705-5405 | 2006-06-03 |
| 1053362756 | Long Beach Vamc | Clinic/Center | 2001 River Ave, Building 28, Long Beach, CA 90810-3622 | 2006-05-15 |
| 1730549049 | Long Beach Vamc | Skilled Nursing Facility | 5901 E 7th St, Long Beach, CA 90822-5201 | 2016-02-29 |
| 1386041754 | Long Beach Vamc | Clinic/Center | 5901 E 7th St, Long Beach, CA 90822-5201 | 2014-12-01 |
| 1306090824 | Long Beach Vamc | Rehabilitation Hospital | 5901 E 7th St, Long Beach, CA 90822-5201 | 2008-11-11 |
| 1003866468 | Long Beach Vamc | General Acute Care Hospital | 5901 E 7th St, Long Beach, CA 90822-5201 | 2006-05-10 |
| Street Address |
2569 W WOODLAND DR |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92801-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982933511 | Michael Turner | Specialist | 2569 W Woodland Dr, Anaheim, CA 92801-2608 | 2009-12-10 |
| 1609020502 | Kimberly Basaker | Specialist | 2569 W Woodland Dr, Anaheim, CA 92801-2608 | 2008-11-05 |
| 1922251388 | Krystal Wang | Specialist | 2569 W Woodland Dr, Anaheim, CA 92801-2608 | 2008-10-29 |
| 1235381955 | Homer Domingo | Licensed Vocational Nurse | 2569 W Woodland Dr, Anaheim, CA 92801-2608 | 2008-10-13 |
| 1942459409 | Ann Le | Specialist | 2569 W Woodland Dr, Anaheim, CA 92801-2608 | 2008-09-09 |
| 1104075605 | Adrian Rivera | Specialist | 2569 W Woodland Dr, Anaheim, CA 92801-2608 | 2008-09-09 |
| 1831355544 | Telecare | Preferred Provider Organization | 2569 W Woodland Dr, Anaheim, CA 92801-2608 | 2008-08-01 |
| 1831352673 | Phuongdoan Lam Doan | Family Medicine | 2569 W Woodland Dr, Anaheim, CA 92801 | 2008-07-02 |
| 1235397415 | Sherry Bereki | Licensed Vocational Nurse | 2569 W Woodland Dr, Anaheim, CA 92801-2608 | 2008-05-24 |
| 1790967008 | Susan Baber | Specialist | 2569 W Woodland Dr, Anaheim, CA 92801-2608 | 2007-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376178996 | Megalink Staffing Services Corp. | Non-emergency Medical Transport (VAN) | 780 N. Euclid St., Suite 207, Anaheim, CA 92801 | 2020-03-04 |
| 1669988630 | Munoz Urgent Care Inc. | Clinic/Center | 1741 W Romneya Dr., Suite A, Anaheim, CA 92801 | 2017-12-28 |
| 1922523257 | Enrique Esparza Jr. | Peer Specialist | 501 North Brookhurst Street, Anahiem, CA 92801 | 2017-08-08 |
| 1336689405 | Lan P. Tran | Pharmacist | 2308 W Huntington Ave, Anaheim, CA 92801 | 2017-03-08 |
| 1982065447 | Giselle Magdaleno | Marriage & Family Therapist | 505 N Euclid St #300, Anaheim, CA 92801 | 2016-03-11 |
| 1346605433 | Esther Chong | Nurse Practitioner | 710 N. Euclid St., 400, Anaheim, CA 92801 | 2015-12-16 |
| 1629441183 | Caremore Health Plan | Nurse Practitioner | 1182 N. Euclid Street, Anaheim, CA 92801 | 2015-11-05 |
| 1205208451 | Uyen Diem Ngo | Pharmacist | 1188 N. Euclid St., Anaheim, CA 92801 | 2015-10-28 |
| 1962873729 | Herb and Acu | Acupuncturist | 1737 W. Romneya Dr., Anaheim, CA 92801 | 2015-10-19 |
| 1437535721 | Yessenia Alvarado | Marriage & Family Therapist | 505 N. Euclid Street, Suite 300, Anaheim, CA 92801 | 2015-08-10 |
| Find all providers in zip 92801 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| 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 | ||||
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| 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.