Active NPI
Youssef Behnam Awad, MD
- Internal Medicine Physician
- Long Beach, CA
National Provider Identifier
1164528105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A52194
- Practice address
- 3530 Long Beach Blvd Ste 120
Long Beach, CA 90807-3972 - Phone
- (562) 989-1200
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A52194 | CA | Primary |
Addresses
Primary practice location
3530 Long Beach Blvd Ste 120
Long Beach, CA 90807-3972
Mailing address
3530 Long Beach Blvd Ste 3
Long Beach, CA 90807-3942
Phone (562) 989-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A521941 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051228000704 | CA | Practitioner - General Practice | 6305868761 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St John Medical Group Inc
Practice addresses (Care Compare)
3530 Long Beach Blvd
Suite 120
Long Beach, CA 90807-3972
Phone (562) 989-1200
Hospital & facility affiliations
- Memorialcare Long Beach Medical Center
- St Mary Medical Center
- Colonial Care Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A52194 | CA | MD | Internal Medicine Physician |
Practice roles (7 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California Irvine | Past | Accepting new patients | |
| Los Alamitos Medical Center, Inc. | Past | Accepting new patients | |
| Bakersfield Memorial Hospital | Past | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| San Joaquin Community Hospital | Past | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 8
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.
-
- Institutional Pharmacy
- Bakersfield, CA
- NPI 1144256363
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
-
- Rehabilitation Hospital Unit
- Long Beach, CA
- NPI 1396791414
-
- Children's Hospital
- Long Beach, CA
- NPI 1477596583
-
- Psychiatric Hospital Unit
- Los Alamitos, CA
- NPI 1497780084
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1538157508
-
- General Acute Care Hospital
- Lakewood, CA
- NPI 1184655581
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1164528105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3530 LONG BEACH BLVD STE 3",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073942",
"telephone_number": "562-989-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3530 LONG BEACH BLVD STE 120",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073972",
"telephone_number": "562-989-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWAD",
"first_name": "YOUSSEF",
"middle_name": "BEHNAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A52194",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A521941",
"state": "CA"
}
],
"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 Jun 25, 2021; 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.