Individual provider Active NPI

Ross Nathan, MD

  • Orthopaedic Hand Surgery Physician
  • Long Beach, CA
National Provider Identifier
1013957679
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
G63130 Issued in CA
Practice address
3633 Long Beach Blvd Ste 100
Long Beach, CA 90807-6027
Phone
(562) 424-9000
Fax
(562) 424-9067
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X G63130 CA Primary

Addresses

Primary practice location

3633 Long Beach Blvd Ste 100
Long Beach, CA 90807-6027

Mailing address

3633 Long Beach Blvd Ste 100
Long Beach, CA 90807-6027
Phone (562) 424-9000

Other identifiers 2

IdentifierTypeStateIssuer
00G631300MedicaidCA
G63130OtherCAMEDICAL BOARD OF CA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031121000742 CA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 4385548288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Baylor College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ross Nathan MD, Inc.Group PAC ID 6103880117, 2 clinicians

Practice addresses (Care Compare)

3918 Lond Beach Blvd
Suite 100
Long Beach, CA 90807-2682
Phone (562) 429-9000

Hospital & facility affiliations

  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G63130CAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ross Nathan MD, Inc. Hand Surgery CurrentSince Jul 1, 1990 Accepting new patients
KMK Clinical Inc PastSince Jul 21, 2024 Accepting new patients

Locations

2840 Long Beach Blvd
Ste 440
Long Beach, CA 90806
Phone (562) 424-9444

3633 Long Beach Blvd
Ste 100
Long Beach, CA 90807
Phone (562) 424-9000

3918 Long Beach Blvd
Ste 100
Long Beach, CA 90807
Phone (562) 424-9000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rnathanmd16175@direct.memorialcare.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1013957679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 LONG BEACH BLVD STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908076027",
            "telephone_number": "562-424-9000",
            "fax_number": "562-424-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 LONG BEACH BLVD STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908076027",
            "telephone_number": "562-424-9000",
            "fax_number": "562-424-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "G63130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G631300",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CA",
            "identifier": "G63130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.