Organization Active NPI

Ira David Enterprises LLC

  • Assisted Living Facility
  • Long Beach, CA
National Provider Identifier
1154592467
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
191671691 Issued in CA
Legal business name
IRA DAVID ENTERPRISES LLC
Practice address
1950 E 5TH St
Long Beach, CA 90802-2023
Phone
(562) 437-0093
Fax
(562) 436-9987
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Mr. Ira David Friedman
Title
Manager
Phone
(213) 389-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 191671691 CA Primary

Addresses

Primary practice location

1950 E 5TH St
Long Beach, CA 90802-2023

Mailing address

4032 Wilshire Blvd
Suite 600
Los Angeles, CA 90010-3405
Phone (213) 389-6900

Other names 1

  • Crofton Manor Inn Doing business as

National Provider Directory

National Provider Directory

Locations

1950 E 5th St
Long Beach, CA 90802
Phone (562) 432-0256

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1154592467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 WILSHIRE BLVD",
            "address_2": "SUITE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103405",
            "telephone_number": "213-389-6900",
            "fax_number": "213-480-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 E 5TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908022023",
            "telephone_number": "562-437-0093",
            "fax_number": "562-436-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRA DAVID ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "213-389-6900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "191671691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crofton Manor Inn",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crofton Manor Inn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 8, 2025; 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.