Individual provider Active NPI

Harold Cardinal Valery, M.D.

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1073604716
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A35020 Issued in CA
Practice address
920 Pacific Ave
Long Beach, CA 90813
Phone
(562) 495-3985
Fax
(562) 495-3452
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A35020 CA Primary

Addresses

Primary practice location

920 Pacific Ave
Long Beach, CA 90813

Mailing address

920 Pacific Ave
Long Beach, CA 90813
Phone (562) 495-3985

Other identifiers 1

IdentifierTypeStateIssuer
00A350200MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040325001205 CA Practitioner - General PracticePractitioner - Family Practice 9133010390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
State University of New York at Buffalo School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1655 S Western Ave
Los Angeles, CA 90006-5801
Phone (323) 737-5200

920 Pacific Ave
Long Beach, CA 90813-4228
Phone (562) 495-3985

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A35020CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harold Cardinal Valery M.D. Inc. CurrentSince May 1, 1999 Accepting new patients
Harold Cardinalvalery M.D. Inc. Family Medicine Current Accepting new patients
CHLB, LLC Past Accepting new patients

Locations

920 Pacific Ave
Long Beach, CA 90813
Phone (562) 495-3985

1655 S Western Ave
Los Angeles, CA 90006
Phone (323) 737-5200

6316 Holmes Ave
Los Angeles, CA 90001
Phone (323) 583-5887

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073604716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90813",
            "telephone_number": "562-495-3985",
            "fax_number": "562-495-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90813",
            "telephone_number": "562-495-3985",
            "fax_number": "562-495-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERY",
        "first_name": "HAROLD",
        "middle_name": "CARDINAL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A35020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A350200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.