Organization Active NPI

Hipprocrates of California Medical Group

  • Orthopedic Chiropractor
  • Long Beach, CA
National Provider Identifier
1114307493
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
G48974 Issued in CA
Legal business name
HIPPROCRATES OF CALIFORNIA MEDICAL GROUP
Practice address
3605 Long Beach Blvd
Suite 100
Long Beach, CA 90807-4013
Phone
(562) 981-0022
NPI assigned
Jun 2, 2015
Organization subpart
Yes
Parent organization
HIPPROCRATES OF CALIFORNIA MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Authorized official

Name
Dr. Mike Rudolph, MD
Title
Cheif Financial Officer
Phone
56219812200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NX0800X G48974 CA Primary

Addresses

Primary practice location

3605 Long Beach Blvd
Suite 100
Long Beach, CA 90807-4013

Mailing address

3605 Long Beach Blvd
Suite 100
Long Beach, CA 90807-4013
Phone (562) 981-0022

Other names 1

  • HIPPROCRATES OF CALIFORNIA MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory
Part of
Hipprocrates of California Medical Group

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1114307493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 LONG BEACH BLVD",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074013",
            "telephone_number": "562-981-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 LONG BEACH BLVD",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074013",
            "telephone_number": "562-981-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIPPROCRATES OF CALIFORNIA MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIPPROCRATES OF CALIFORNIA MEDICAL GROUP",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "RUDOLPH",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CHEIF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "56219812200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "G48974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIPPROCRATES OF CALIFORNIA 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 Jun 2, 2015; 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.