Active NPI
Stanley Kawanishi, M.D.
- Cardiovascular Disease Physician
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G47724
- Practice address
- 2699 Atlantic Ave
Long Beach, CA 90806-2710 - Phone
- (562) 426-3333
- Fax
- (562) 989-2107
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G47724 | CA | Primary |
Addresses
Primary practice location
2699 Atlantic Ave
Long Beach, CA 90806-2710
Mailing address
2699 Atlantic Ave
Long Beach, CA 90806-2710
Phone (562) 426-3333
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- University of Missouri, Columbia School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24022 Calle de la Plata
Suite 500
Laguna Hills, CA 92653-7612
Phone (714) 445-0220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G47724 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Pacific Cardiovascular Associates Medical Group, Inc. | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Cardiovascular Disease | Current | Accepting new patients |
| Memorial Medical Group Inc | Past | Accepting new patients |
Locations
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
3080 Bristol St
Ste 600
Costa Mesa, CA 92626
Phone 7144450228 ext. 8262
11180 Warner Ave
Ste 269
Fountain Vly, CA 92708
Phone (714) 486-1228
24022 Calle de la Plata
Ste 500
Laguna Hills, CA 92653
Phone (877) 430-7337
2699 Atlantic Ave
Long Beach, CA 90806
Phone (562) 426-2105
601 Torrance Blvd
#1182
Redondo Beach, CA 90277
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- stanleykawanishi@hcpca.allscriptsdirect.net
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- stanley.kawanishi.p13@direct.pca.nextgenshare.com
Organizations & group practices 5
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.
-
- Legal Medicine
- Costa Mesa, CA
- NPI 1700821691
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Cardiovascular Disease
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Addiction Medicine (Internal Medicine) Physician
- Tustin, CA
- NPI 1891981502
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1144288242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2699 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062710",
"telephone_number": "562-426-3333",
"fax_number": "562-989-2107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2699 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062710",
"telephone_number": "562-426-3333",
"fax_number": "562-989-2107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAWANISHI",
"first_name": "STANLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G47724",
"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 Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.