NPIMap

Organization Active NPI

Faustino Bernadett M.D.

  • Clinic/Center
  • Long Beach, CA
National Provider Identifier
1033249271
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
PA15918 Issued in CA
Legal business name
FAUSTINO BERNADETT M.D.
Practice address
1040 Elm Ave Ste 100
Long Beach, CA 90813-3265
Phone
(562) 491-2145
Fax
(562) 491-0153
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Eric K Voldeng, PA
Title
Physician Asst.
Phone
(562) 491-2145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PA15918 CA Primary

Addresses

Primary practice location

1040 Elm Ave Ste 100
Long Beach, CA 90813-3265

Mailing address

1040 Elm Ave Ste 100
Long Beach, CA 90813-3265
Phone (562) 491-2145

Other names 1

  • st. mary's pain management Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Faustino Bernadett MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033249271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 ELM AVE STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133265",
            "telephone_number": "562-491-2145",
            "fax_number": "562-491-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 ELM AVE STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133265",
            "telephone_number": "562-491-2145",
            "fax_number": "562-491-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAUSTINO BERNADETT M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VOLDENG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN ASST.",
        "authorized_official_telephone_number": "562-491-2145",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "PA15918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "st. mary's pain management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.