Organization Active NPI

Embrace Medical Group, LLC

  • Adult Medicine Physician
  • Long Beach, CA
National Provider Identifier
1164326401
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
EMBRACE MEDICAL GROUP, LLC
Practice address
3800 Kilroy Airport Way Ste 100
Long Beach, CA 90806-6818
Phone
(818) 434-1977
NPI assigned
Oct 7, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Jennifer Haynes, RN
Title
Sr. Director, Compliance
Phone
(818) 434-1977

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

3800 Kilroy Airport Way Ste 100
Long Beach, CA 90806-6818

Mailing address

3800 Kilroy Airport Way Ste 100
Long Beach, CA 90806-6818

NPI Registry JSON

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1164326401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 KILROY AIRPORT WAY STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908066818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 KILROY AIRPORT WAY STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908066818",
            "telephone_number": "818-434-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SR. DIRECTOR, COMPLIANCE",
        "authorized_official_telephone_number": "818-434-1977",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.