Individual provider Active NPI

Rebekah Lynne Cohen-Gronberg, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1104674373
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027007 Issued in CA
Practice address
6420 E Pacific Coast Hwy Ste 157
Long Beach, CA 90803-4254
Phone
(562) 594-5523
NPI assigned
May 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95027007 CA Primary

Addresses

Primary practice location

6420 E Pacific Coast Hwy Ste 157
Long Beach, CA 90803-4254

Mailing address

831 N Harbor Dr
Redondo Beach, CA 90277-2005
Phone (310) 292-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95027007CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1104674373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 N HARBOR DR",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772005",
            "telephone_number": "310-292-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 E PACIFIC COAST HWY STE 157",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034254",
            "telephone_number": "562-594-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN-GRONBERG",
        "first_name": "REBEKAH",
        "middle_name": "LYNNE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 1, 2025; 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.