NPIMap

Organization Active NPI

Thrive Health IV Clinic, P.C.

  • Multi-Specialty Clinic/Center
  • Long Beach, CA
National Provider Identifier
1033972575
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
THRIVE HEALTH IV CLINIC, P.C.
Practice address
3900 Long Beach Blvd
Long Beach, CA 90807-2615
Phone
(310) 363-8757
Fax
(310) 363-8758
NPI assigned
Feb 6, 2024
Organization subpart
Yes
Parent organization
THRIVE HEALTH IV CLINIC, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Ms. Karen M Mullen
Title
Secretary
Phone
(310) 363-8757

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3900 Long Beach Blvd
Long Beach, CA 90807-2615

Mailing address

9675 Brighton Way Ste 410
Beverly Hills, CA 90210-5192
Phone (310) 636-8757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230622000890 CA Part B Supplier - Clinic/Group Practice 0941668057 Receives reassigned benefits from 10 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sherman Oaks, CA; Beverly Hills, CA; Santa Monica, CA; Rancho Palos Verdes, CA; Long Beach, CA; Newport Beach, CA

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Thrive Health IV Clinic PC15 organizations share this tax ID, including this one
Part of
Thrive Health IV Clinic PC

Other organizations with this tax ID 14

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

View all 14

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1033972575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 BRIGHTON WAY STE 410",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105192",
            "telephone_number": "310-636-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072615",
            "telephone_number": "310-363-8757",
            "fax_number": "310-363-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE HEALTH IV CLINIC, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THRIVE HEALTH IV CLINIC, P.C.",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "310-363-8757",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.