NPIMap

Organization Active NPI

Faustino Bernadett Jr MD Inc a Professional Medical Corporation

  • Specialist
  • Long Beach, CA
National Provider Identifier
1063664514
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G44925 Issued in CA
Legal business name
FAUSTINO BERNADETT JR MD INC A PROFESSIONAL MEDICAL CORPORATION
Practice address
1040 Elm Ave
100
Long Beach, CA 90813-3264
Phone
(714) 973-2650
Fax
(714) 973-2655
NPI assigned
Oct 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Dr. Faustino Bernadett Jr., MD
Title
President
Phone
(714) 973-2650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G44925 CA Primary

Addresses

Primary practice location

1040 Elm Ave
100
Long Beach, CA 90813-3264

Mailing address

PO Box 2677
Los Alamitos, CA 90720-7677
Phone (714) 973-2650

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1063664514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2677",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907207677",
            "telephone_number": "714-973-2650",
            "fax_number": "714-973-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 ELM AVE",
            "address_2": "100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133264",
            "telephone_number": "714-973-2650",
            "fax_number": "714-973-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAUSTINO BERNADETT JR MD INC A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "BERNADETT",
        "authorized_official_first_name": "FAUSTINO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-973-2650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G44925",
            "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 Jun 30, 2009; 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.