Departmen of Veterans Affair Long Beach Healthcare System

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

00477119 Issued in CA

Legal business name

DEPARTMEN OF VETERANS AFFAIR LONG BEACH HEALTHCARE SYSTEM

Practice address

5901 E 7TH St
Long Beach, CA 90822-5201

Phone

(562) 826-8000

NPI assigned

Apr 22, 2016

Organization subpart

No

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

Authorized official

Name

Tanya Leann Lawrence

Title

Nursing Assistant

Phone

(323) 535-0700

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1144674458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 W 55TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900622810",
            "telephone_number": "323-535-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908225201",
            "telephone_number": "562-826-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMEN OF VETERANS AFFAIR LONG BEACH HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "NURSING ASSISTANT",
        "authorized_official_telephone_number": "323-535-0700"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "00477119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DEPARTMEN OF PUBLIC HEALTH",
            "identifier": "00477119",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guy D Denton Jr., RD
• Trendale Deshawn Denton
• Cade Denyer
• Eknath Deo, M.D., F.A.C.P.
• Tabare Depaep, ESQ., CD(CAPPA)
• Department of Mental Health
• Department of Mental Health, Long Beach
• Department of Veterans Affairs Medical Center, VA Long Beach Healthcar
• Department of Veterans Affairs, VA Long Beach Healthcare System
• Robert Henry Depass

• Nursing Facility/Intermediate Care Facility in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.