Organization Active NPI

West Ocean Medical Group, Inc

  • General Practice Physician
  • Long Beach, CA
National Provider Identifier
1184868911
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A46453 Issued in CA
Legal business name
WEST OCEAN MEDICAL GROUP, INC
Practice address
110 W Ocean Blvd
# 526
Long Beach, CA 90802-4605
Phone
(800) 963-9672
NPI assigned
Apr 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Dr. Archie Mays, M.D.
Title
Owner
Phone
(800) 963-9672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A46453 CA Primary

Addresses

Primary practice location

110 W Ocean Blvd
# 526
Long Beach, CA 90802-4605

Mailing address

110 W Ocean Blvd
# 526
Long Beach, CA 90802-4605
Phone (800) 963-9672

National Provider Directory

National Provider Directory
Tax ID family
West Ocean Medical Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1184868911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W OCEAN BLVD",
            "address_2": "# 526",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024605",
            "telephone_number": "800-963-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W OCEAN BLVD",
            "address_2": "# 526",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024605",
            "telephone_number": "800-963-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST OCEAN MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "MAYS",
        "authorized_official_first_name": "ARCHIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-963-9672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A46453",
            "primary": true
        }
    ],
    "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 Apr 23, 2009; 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.