SOUTH BAY PSYCHIATRIC GROUP, A MEDICAL CORPORATION (NPI# 1770142440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770142440 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY PSYCHIATRIC GROUP, A MEDICAL CORPORATION |
| Practice Address |
2776 Pacific Ave Long Beach CA 90806-2613 |
| Mailing Address |
Po Box 4570 Palos Verdes Peninsula CA 90274-9607 |
| Practice Telephone | 5629972000 |
| Mailing Telephone | 4244007748 |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |
| Authorized Official Name | MR. HIRUY GESSESSE (PRESIDENT) |
| Authorized Official Telephone | 4244007748 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
2776 PACIFIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366411217 | Angeline Chang Barnes | Anesthesiology | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2006-03-14 |
| 1972126696 | Yasemin Bulut Balin | Student in an Organized Health Care Education/Training Program | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2020-05-28 |
| 1578185658 | Jacqueline Jines | Registered Nurse | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2020-05-12 |
| 1891329157 | Cody Tyler Casalegno | Family Medicine | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2020-02-26 |
| 1427688167 | Marlynn Ortiz | Registered Nurse | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2020-01-22 |
| 1295380517 | Houman Badrzadeh | Student in an Organized Health Care Education/Training Program | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2019-08-04 |
| 1982258349 | Rajesh Chundu | Internal Medicine | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2019-07-24 |
| 1982257531 | Chase Bastian | Student in an Organized Health Care Education/Training Program | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2019-07-23 |
| 1497308100 | Mary Catherine Mora Valdez-guzman | Student in an Organized Health Care Education/Training Program | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2019-07-22 |
| 1760035489 | Jakob Francis | Student in an Organized Health Care Education/Training Program | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2019-07-22 |
| Find all providers in the same location | ||||
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841834694 | Vortex Mental Health | Psychiatry & Neurology | 1703 Termino Ave Ste 106, Long Beach, CA 90804-2126 | 2019-11-05 |
| 1376885293 | Mottsin Lawrence Thomas | Psychiatry & Neurology | 320 Pine Ave Ste 609, Long Beach, CA 90802-2310 | 2013-03-18 |
| 1538425772 | Asheena Lee | Psychiatry & Neurology | 444 W Ocean Blvd Ste 800, Long Beach, CA 90802-4529 | 2012-04-02 |
| 1275809618 | Maurice Anthony Wiggins | Psychiatry & Neurology | 3350 E 7th St Ste 229, Long Beach, CA 90804-5003 | 2012-03-29 |
| 1598903858 | Kamal Bijanpour | Psychiatry & Neurology | 3605 Long Beach Blvd Ste 304, Long Beach, CA 90807-6018 | 2009-01-25 |
| 1295971323 | Gus O Dixon Jr. | Psychiatry & Neurology | 412 Termino Ave, Long Beach, CA 90814-1764 | 2008-12-18 |
| 1588825327 | Mirou Pich Dom | Psychiatry & Neurology | 3224 Daisy Ave, Long Beach, CA 90806-1228 | 2008-06-24 |
| 1063681633 | Tracy Marie Chaffee | Psychiatry & Neurology | 5347 E 2nd St, Long Beach, CA 90803-5357 | 2008-02-27 |
| 1477738748 | William Antonio Alvarez | Psychiatry & Neurology | 525 Manila Ave, Long Beach, CA 90814-2026 | 2008-01-07 |
| 1982884904 | Jay Robert Lentzner | Psychiatry & Neurology | 1630 Park Ave Apt 5, Long Beach, CA 90815-3869 | 2007-11-07 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on SOUTH BAY PSYCHIATRIC GROUP, A MEDICAL CORPORATION.
| 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.