Hia Mobile Clinic - Long Beach

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

HIA MOBILE CLINIC - LONG BEACH

Practice address

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

Phone

(800) 559-3500

NPI assigned

Dec 5, 2025

Organization subpart

Yes

Parent organization

SCAN GROUPAs reported in NPPES

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 1

Addresses

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1184587115",
    "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",
            "telephone_number": "800-559-3500"
        },
        {
            "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": "800-559-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIA MOBILE CLINIC - LONG BEACH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCAN GROUP",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "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": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Nicole Hewitt, CLC
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• Amelia Elizabeth Heywood
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• Stephanie Hickerson, PT
• Brendan C Hickey
• Casya Hickman-Jones, AUD
• Donn Michael Hickman, M.D.

• Multi-Specialty Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.