Biostem,Inc

Primary specialty

Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X

License

RHN 2003 Issued in CA

Legal business name

BIOSTEM,INC

Practice address

4000 Long Beach BVLD
Suite 226
Long Beach, CA 90807

Phone

(866) 894-7195

NPI assigned

Jan 15, 2009

Last updated

Jan 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephenson O Bamidele

Title

Ceo

Phone

(866) 894-7195

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1124265954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14111 FREEWAY DR STE 312",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906705822",
            "telephone_number": "866-894-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 LONG BEACH BVLD",
            "address_2": "SUITE 226",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90807",
            "telephone_number": "866-894-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOSTEM,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "BAMIDELE",
        "authorized_official_first_name": "STEPHENSON",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-894-7195"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "RAML 2236-36",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CA",
            "license": "RAML 1258-19",
            "primary": false
        },
        {
            "code": "2471N0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "CA",
            "license": "RHN 2003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Binh Pham, MD, PC
• Gillian Binnie, PSYD
• Bio-Medical Applications of California
• Bio-Medical Applications of California, Inc. (FMC Dialysis Services of North Long Beach)
• Bio-Medical Applications of Long Beach, Inc. (Bma Long Beach)
• Kameron Birch
• Melissa I Bird
• Petrina Bird
• Aster Birhane Ekubamichaek
• Michael J Birnbaum, D.C.

• Radiologic Technologist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.