Organization Active NPI

Beachside Birth Center Long Beach

  • Birthing Clinic/Center
  • Laguna Hills, CA
National Provider Identifier
1104255405
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
BEACHSIDE BIRTH CENTER LONG BEACH
Practice address
24902 Moulton Pkwy
Suite 120
Laguna Hills, CA 92637-6403
Phone
(949) 215-7575
NPI assigned
Nov 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Mr. Christopher Snell, BA, EH.S
Title
Chief Operations Officer
Phone
(562) 912-4421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X Primary

Addresses

Primary practice location

24902 Moulton Pkwy
Suite 120
Laguna Hills, CA 92637-6403

Mailing address

1224 E Wardlow Rd
Long Beach, CA 90807-4833

National Provider Directory

National Provider Directory

Locations

24902 Moulton Pkwy
Ste 120
Laguna Woods, CA 92637
Phone (949) 215-7575

Practitioners & affiliated clinicians

Practitioners 1

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": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1104255405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24902 MOULTON PKWY",
            "address_2": "SUITE 120",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926376403",
            "telephone_number": "949-215-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHSIDE BIRTH CENTER LONG BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "SNELL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "562-912-4421",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA, EH.S"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.