MEMRAD MEDICAL GROUP INC (NPI# 1831173905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831173905 |
| Entity Type | Organization |
| Organization Name | MEMRAD MEDICAL GROUP INC |
| Practice Address |
100 Oceangate Ste 1000 Long Beach CA 90802 |
| Practice Telephone | 5625907400 |
| Mailing Telephone | 5625907400 |
| Mailing Fax Number | 5625907452 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MAUREEN BROOKS (VICE PRESIDENT, OPERATIONS) |
| Authorized Official Telephone | 5625907400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDI-CAL | ZZZ74966Z | 01 | |
| BLUE SHIELD | ZZZ27107Z | 01 | |
| MEDI-CAL | GR0023357 | 01 | |
| MEDI-CAL | GR0023358 | 01 | |
| MEDI-CAL | GR0023355 | 01 | |
| MEDI-CAL | GR0023352 | 01 | |
| MEDI-CAL | ZZZ77516Z | 01 | |
| MEDI-CAL | GR0023356 | 01 | |
| MEDI-CAL | GR0023359 | 01 | |
| MEDI-CAL | GR0023351 | 01 |
| Street Address |
100 OCEANGATE STE 1000 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225583057 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 100 Oceangate, P245, Long Beach, CA 90802-4312 | 2016-08-22 |
| 1538538640 | Patricia Lela Williams | Community Health Worker | 100 Oceangate, #550, Long Beach, CA 90802-4312 | 2015-09-18 |
| 1568842763 | Juan A Velazquez | Community Health Worker | 100 Oceangate, Ste 550, Long Beach, CA 90802-4312 | 2015-06-02 |
| 1760804454 | Providence Community Services | Social Worker | 100 Oceangate, 12th. Floor, Long Beach, CA 90802-4312 | 2014-01-14 |
| 1932539848 | Fitness Chiropractic | Chiropractor | 100 Oceangate, Ste P 280, Long Beach, CA 90802-4312 | 2013-11-14 |
| 1407124589 | April Hagerty | Social Worker | 100 Oceangate, 550, Long Beach, CA 90802-4312 | 2011-12-05 |
| 1699905059 | Emily G. Serna | Social Worker | 100 Oceangate, Suite 550, Long Beach, CA 90802-4312 | 2009-07-20 |
| 1427219484 | Gary Odom | Social Worker | 100 Oceangate, Suite 550, Long Beach, CA 90802-4312 | 2008-06-23 |
| 1346416872 | Tiburcio Maldonado | Community Health Worker | 100 Oceangate, Suite 550, Long Beach, CA 90802 | 2008-05-05 |
| 1972778587 | Kathrine Haaland Lundy | Social Worker | 100 Oceangate, Ste 550, Long Beach, CA 90802-4312 | 2008-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981791 | Nena Danieles Meador | Technician | 505 West 5th St. Unit 201, Long Beach, CA 90802 | 2019-09-17 |
| 1881241487 | Edward De La Cruz | Technician | 425 E 3rd St., 413, Long Beach, CA 90802 | 2019-08-20 |
| 1992350094 | Kaitlyn May Saephan | Student in an Organized Health Care Education/Training Program | 200 Pine Avenue, Suite 400, Long Beach, CA 90802 | 2019-08-06 |
| 1073175881 | David Coleman | Counselor | 735 West 4th St, Unit D, Long Beach, CA 90802 | 2019-07-01 |
| 1235612193 | Linda Nyagaya | Nurse Practitioner | 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 | 2018-09-06 |
| 1669998670 | Jessica Huerta | Student in an Organized Health Care Education/Training Program | 456 Elm, Long Beach, CA 90802 | 2017-08-22 |
| 1316462484 | Kathlyn Pearl Parlet | Counselor | 351 E. 6th. Street, Long Beach, CA 90802 | 2017-08-09 |
| 1386168136 | Shena Young | Psychologist | 404 East First St #1191, Long Beach, CA 90802 | 2017-08-02 |
| 1215472758 | Vanessa Pons | Marriage & Family Therapist | 735 W 4th St Unit A, Long Beach, CA 90802 | 2016-12-19 |
| 1821459330 | Surabhi Shah | Occupational Therapist | 330 Golden Shores, Suite 250, Long Beach, CA 90802 | 2016-03-10 |
| Find all providers in zip 90802 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1801287560 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 701 E 28th St, Suite 318, Long Beach, CA 90806-2759 | 2015-02-16 |
| 1073946943 | Wave Imaging, LLC | Clinic/Center | 3828 Schaufele Ave, Ste 250, Long Beach, CA 90808-1793 | 2013-08-15 |
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| 1982240321 | United Care Foundation | Clinic/Center | 2233 Watt Ave Ste 120, Sacramento, CA 95825-0569 | 2019-11-20 |
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| 1518502087 | Ishraf Corporation | Clinic/Center | 5720 Stoneridge Mall Rd Ste 288, Pleasanton, CA 94588-2830 | 2019-11-08 |
| 1780227769 | Drs Concepts, Incorporated | Clinic/Center | 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 | 2019-10-23 |
| 1538700588 | Central Valley Medical Imaging, LLC | Clinic/Center | 1125 E Spruce Ave Ste 103, Fresno, CA 93720-3385 | 2019-10-01 |
| 1700447497 | Ester A Hanna | Clinic/Center | 72650 Fred Waring Dr Ste 107, Palm Desert, CA 92260-5007 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90802 |
Please comment or provide details below to improve the information on MEMRAD MEDICAL GROUP INC.
| 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.