City of Long Beach

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CITY OF LONG BEACH

Practice address

2525 Grand Ave
Room #260
Long Beach, CA 90815-1765

Phone

(562) 570-4075

Fax

(562) 570-4070

NPI assigned

Jul 27, 2006

Last updated

Nov 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anissa Danielle Davis, MDNPI 1982623971

Title

Health Officer

Phone

(562) 570-4047

Specialties & licenses 2

Addresses

Other names 1

• City of Long Beach Health Dept Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anissa Danielle Davis, MD

  • Family Medicine Physician
  • Long Beach, CA
  • NPI 1982623971
  Authorized official Same address or phone

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1083638530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 GRAND AVE",
            "address_2": "ROOM #260",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151765",
            "telephone_number": "562-570-4075",
            "fax_number": "562-570-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 GRAND AVE",
            "address_2": "ROOM #260",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151765",
            "telephone_number": "562-570-4075",
            "fax_number": "562-570-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LONG BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANISSA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "562-570-4047",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Long Beach Health Dept",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Medical Laboratory in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.