Active NPI
Long Beach Advanced Orthopedic Medical Center Inc
- Orthopaedic Surgery Physician
- Long Beach, CA
National Provider Identifier
1114927860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- LONG BEACH ADVANCED ORTHOPEDIC MEDICAL CENTER INC
- Practice address
- 1760 Termino Ave
208
Long Beach, CA 90804-2105 - Phone
- (562) 961-5655
- Fax
- (562) 961-8836
- NPI assigned
- Jul 22, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Philip E Hill, M.D.
- Title
- President
- Phone
- (562) 961-5655
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | CA | Primary |
Addresses
Primary practice location
1760 Termino Ave
208
Long Beach, CA 90804-2105
Mailing address
1760 Termino Ave
208
Long Beach, CA 90804-2105
Phone (562) 961-5655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0085960 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNetworks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
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.
-
- Orthopaedic Surgery Physician
- Long Beach, CA
- NPI 1770583429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1114927860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 TERMINO AVE",
"address_2": "208",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908042105",
"telephone_number": "562-961-5655",
"fax_number": "562-961-8836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 TERMINO AVE",
"address_2": "208",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908042105",
"telephone_number": "562-961-5655",
"fax_number": "562-961-8836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONG BEACH ADVANCED ORTHOPEDIC MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-22",
"last_updated": "2022-07-21",
"certification_date": "2020-02-19",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-961-5655",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0085960",
"state": "CA"
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.