Individual provider Active NPI

Milagros Ferrariz Demandante, MD

  • Addiction Psychiatry Physician
  • Long Beach, CA
National Provider Identifier
1134342041
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
A91043 Issued in CA
Practice address
4510 E. Pacific Coast Highway
Suite 600
Long Beach, CA 90804
Phone
(562) 346-1100
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084A0401X A90143 CA
Psychiatry Physician 2084P0800X A90143 CA
Addiction Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0802X A91043 CA Primary

Addresses

Primary practice location

4510 E. Pacific Coast Highway
Suite 600
Long Beach, CA 90804

Mailing address

4510 E Pacific Coast Highway
Suite 600
Long Beach, CA 90804
Phone (562) 346-1100

Other identifiers 1

IdentifierTypeStateIssuer
A90143OtherCAPHYSICIAN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110606000566 CA Practitioner - Psychiatry 2466639141 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A90143CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Mental Health Single Specialty Current Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Sep 23, 2020 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Sep 23, 2020 Accepting new patients

Locations

4510 E Pacific Coast Hwy
Ste 600
Long Beach, CA 90804
Phone (562) 346-1100

1975 Long Beach Blvd
Long Beach, CA 90806
Phone (562) 599-9280

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

1294 W 6th St
Fl 2
San Pedro, CA 90731
Phone (310) 519-6100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1134342041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 E PACIFIC COAST HIGHWAY",
            "address_2": "SUITE 600",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90804",
            "telephone_number": "562-346-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 E. PACIFIC COAST HIGHWAY",
            "address_2": "SUITE 600",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90804",
            "telephone_number": "562-346-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMANDANTE",
        "first_name": "MILAGROS",
        "middle_name": "FERRARIZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "A90143",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A90143",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "A91043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "A90143",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.