Organization Active NPI

Harold Cardinal Valery M.D. Inc.

  • Primary Care Clinic/Center
  • Long Beach, CA
National Provider Identifier
1104193358
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A35020 Issued in CA
Legal business name
HAROLD CARDINAL VALERY M.D. INC.
Practice address
920 Pacific Ave
Long Beach, CA 90813-4228
Phone
(562) 495-3985
Fax
(562) 495-3452
NPI assigned
Nov 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Dr. Harold Cardinal Valery, M.D.NPI 1073604716
Title
Owner
Phone
(562) 495-3985

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A35020 CA Primary

Addresses

Primary practice location

920 Pacific Ave
Long Beach, CA 90813-4228

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00A350200MedicaidCA

Other names 1

  • CARDINAL MEDICAL GROUP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324001411 CA Part B Supplier - Clinic/Group Practice 2163313313 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA; Los Angeles, CA

National Provider Directory

National Provider Directory
Tax ID family
Cardinal Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1104193358",
    "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": "908134228",
            "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": "908134228",
            "telephone_number": "562-495-3985",
            "fax_number": "562-495-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD CARDINAL VALERY M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "VALERY",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "CARDINAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-495-3985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A35020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A350200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARDINAL MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.