NPIMap

Organization Active NPI

Growing Healthy Together Inc., a Medical Corporation

  • Primary Care Clinic/Center
  • Long Beach, CA
National Provider Identifier
1023448511
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
22745 Issued in CA
Legal business name
GROWING HEALTHY TOGETHER INC., A MEDICAL CORPORATION
Practice address
3835 E 7TH St
Long Beach, CA 90804-5303
Phone
(562) 473-4441
Fax
(562) 473-4447
NPI assigned
Nov 19, 2013
Last updated
Dec 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

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

Authorized official

Name
Michael Vicioso, CPNPNPI 1932449642
Title
Owner
Phone
(562) 473-4441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 22745 CA Primary
Pediatrics Physician 208000000X 22745 CA

Addresses

Primary practice location

3835 E 7TH St
Long Beach, CA 90804-5303

Mailing address

3835 E 7TH St
Long Beach, CA 90804-5303
Phone (562) 473-4441

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2071026Growing Healthy Together3835 E 7TH St, Long Beach, CA 90804Certificate of waiverDec 30, 2027

National Provider Directory

National Provider Directory

Locations

3835 E 7th St
Long Beach, CA 90804
Phone (562) 434-5656

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577145600000",
    "number": "1023448511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908045303",
            "telephone_number": "562-473-4441",
            "fax_number": "562-473-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908045303",
            "telephone_number": "562-473-4441",
            "fax_number": "562-473-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING HEALTHY TOGETHER INC., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A",
        "authorized_official_last_name": "VICIOSO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-473-4441",
        "authorized_official_credential": "CPNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "22745",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "22745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.