Michael Decker, DO, Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

20A13087 Issued in CA

Legal business name

MICHAEL DECKER, DO, INC

Practice address

2725 E Broadway
Long Beach, CA 90803-5431

Phone

(562) 434-4494

NPI assigned

May 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Michael Decker, DONPI 1124463229

Title

Physician/Owner

Phone

(816) 896-1355

Specialties & licenses 1

Addresses

Tax ID family

Michael Decker DO Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Michael Decker DO, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Long Beach, CA
  • NPI 1932555125
  NPD tax ID
• Michael Decker, DO, Inc

  • Skilled Nursing Facility
  • Hermosa Beach, CA
  • NPI 1033561725
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Decker, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Long Beach, CA
  • NPI 1124463229
  NPD (past) Authorized official

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1073960746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 PIER AVE",
            "address_2": "#1352",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902548200",
            "telephone_number": "816-896-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 E BROADWAY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035431",
            "telephone_number": "562-434-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL DECKER, DO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "816-896-1355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A13087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael B. Strauss, MD, Inc.
• Michael Birnbaum Chiropractic Inc.
• Michael Bui DMD, Inc
• Michael D. Myers, M.D., Inc.
• Michael Decker DO, Inc.
• Michael E. Lieppman, M.D., Inc.
• Michael J de Luca MD Incorporated
• Michael O Liff MD Inc
• Michael P Majancsik, DC, PC
• Michael S. Johnson Physician Assistant, Inc.

• Physical Medicine & Rehabilitation Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.