Active NPI
Team Medical Group Professional Corporation
- Pediatric Critical Care Medicine Physician
- Long Beach, CA
National Provider Identifier
1043182116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- Legal business name
- TEAM MEDICAL GROUP PROFESSIONAL CORPORATION
- Practice address
- 2801 Atlantic Avenue
Picu Dept.
Long Beach, CA 90806-1701 - Phone
- (714) 224-8853
- NPI assigned
- Sep 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jackie Milan
- Title
- Office Manager
- Phone
- (714) 224-8853
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | Primary |
Addresses
Primary practice location
2801 Atlantic Avenue
Picu Dept.
Long Beach, CA 90806-1701
Mailing address
6285 E Spring St # 288
Long Beach, CA 90808-4020
Phone (714) 224-8853
National Provider Directory
National Provider DirectoryLocations
6285 E Spring St
Long Beach, CA 90808
Phone (562) 204-6026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1043182116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6285 E SPRING ST # 288",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908084020",
"telephone_number": "714-224-8853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 ATLANTIC AVENUE",
"address_2": "PICU DEPT.",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061701",
"telephone_number": "714-224-8853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEAM MEDICAL GROUP PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-19",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A",
"authorized_official_last_name": "MILAN",
"authorized_official_first_name": "JACKIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "714-224-8853",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"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 Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.