Beachkids Pediatrics a Professional Nursing Corporation

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

9281 Issued in CA

Legal business name

BEACHKIDS PEDIATRICS A PROFESSIONAL NURSING CORPORATION

Practice address

918 Emerald St
Redondo Beach, CA 90277-3261

Phone

(310) 697-6833

Fax

(848) 210-9648

NPI assigned

Mar 6, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa Cangialosi, NPNPI 1578841946

Title

Pediatric Nurse Practitioner

Phone

(310) 697-6833

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa Anne Cangialosi, NP

  • Pediatric Nurse Practitioner
  • Long Beach, CA
  • NPI 1578841946

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1174916779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 EMERALD ST",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773261",
            "telephone_number": "310-697-6833",
            "fax_number": "848-210-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 EMERALD ST",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773261",
            "telephone_number": "310-697-6833",
            "fax_number": "848-210-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHKIDS PEDIATRICS A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "CANGIALOSI",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PEDIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "310-697-6833",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "9281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beach Cities Babies
• Beach Cities Health District
• Beach Cities Pain Management Group
• Beach District Surgery Center LP
• Amber Beach
• Jeannine Marie Beaumont, MFT, ATR
• Alexandra Beck, MA, BCBA
• Jamie Michelle Becker, PT, DPT
• Brittany Elizabeth Beckwith
• Bedford Reconstructive Surgery PC

• Pediatric Nurse Practitioner in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.