Active NPI
VA Long Beach Healthcare System
- Psychiatric Hospital Unit
- Costa Mesa, CA
National Provider Identifier
1194808840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- Legal business name
- VA LONG BEACH HEALTHCARE SYSTEM
- Practice address
- 1010 Secretariat Cir
Costa Mesa, CA 92626-1620 - Phone
- (714) 545-1858
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet De Berry
- Title
- Social Worker
- Phone
- (562) 826-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | Primary |
Addresses
Primary practice location
1010 Secretariat Cir
Costa Mesa, CA 92626-1620
Mailing address
1010 Secretariat Circle
Costa Mesa, CA 92626
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1194808840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 SECRETARIAT CIRCLE",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "92626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 SECRETARIAT CIR",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926261620",
"telephone_number": "714-545-1858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VA LONG BEACH HEALTHCARE SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "DE BERRY",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "SOCIAL WORKER",
"authorized_official_telephone_number": "562-826-8000"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.