Organization Active NPI

Cardin Healthcare, a Medical Group, Inc.

  • Case Manager/Care Coordinator
  • Long Beach, CA
National Provider Identifier
1043640063
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
CARDIN HEALTHCARE, A MEDICAL GROUP, INC.
Practice address
2880 Atlantic Ave Ste 170
Long Beach, CA 90806-1715
Phone
(562) 492-9900
Fax
(562) 492-9902
NPI assigned
Nov 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Dr. John Paul Cardin Jr., M.D.NPI 1467411744
Title
Medical Director
Phone
(562) 492-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171M00000X Primary
ContractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171W00000X
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2880 Atlantic Ave Ste 170
Long Beach, CA 90806-1715

Mailing address

2880 Atlantic Ave
Suite 170
Long Beach, CA 90806-1714
Phone (562) 492-9900

Other practice location 1

2880 Atlantic Ave Ste 110
Long Beach, CA 90806-1739
Phone (562) 424-4404

Other practice location 2

2880 Atlantic Ave Ste 230
Long Beach, CA 90806-1735
Phone (562) 424-4404

Other practice location 3

2880 Atlantic Ave Ste 210
Long Beach, CA 90806-1725
Phone (562) 550-7400

Other names 1

  • LONG BEACH PEDIATRIC CLINIC Other name

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
05D2072206Long Beach Pediatric Clinic Inc2880 Atlantic Ave Ste 170, Long Beach, CA 90806Certificate of waiverJan 26, 2028
05D2111836Cardin Healthcare, a Medical Group Inc2880 Atlantic Ave Ste 110, Long Beach, CA 90806Certificate of waiverApr 14, 2028

National Provider Directory

National Provider Directory

Locations

2880 Atlantic Ave
Ste 110
Long Beach, CA 90806
Phone (562) 424-4404

2880 Atlantic Ave
Ste 170
Long Beach, CA 90806
Phone (562) 424-4404

2880 Atlantic Ave
Ste 230
Long Beach, CA 90806
Phone (562) 424-4404

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": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1043640063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 ATLANTIC AVE",
            "address_2": "SUITE 170",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061714",
            "telephone_number": "562-492-9900",
            "fax_number": "562-492-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 ATLANTIC AVE STE 170",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061715",
            "telephone_number": "562-492-9900",
            "fax_number": "562-492-9902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2880 Atlantic Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061739",
            "country_code": "US",
            "telephone_number": "562-424-4404",
            "fax_number": "562-424-4770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2880 Atlantic Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061735",
            "country_code": "US",
            "telephone_number": "562-424-4404",
            "fax_number": "562-424-5180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2880 Atlantic Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061725",
            "country_code": "US",
            "telephone_number": "562-550-7400",
            "fax_number": "562-424-4770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDIN HEALTHCARE, A MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "CARDIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-492-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONG BEACH PEDIATRIC CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 19, 2024; 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.