NPIMap

Individual provider Active NPI

Javier Tena Quesada, D.O.

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1215929880
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7433 Issued in CA
Practice address
2600 Redondo Ave
Suite 400
Long Beach, CA 90806-2329
Phone
(562) 997-7888
NPI assigned
Aug 18, 2005
Last updated
Feb 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A7433 CA Primary

Addresses

Primary practice location

2600 Redondo Ave
Suite 400
Long Beach, CA 90806-2329

Mailing address

2600 Redondo Ave
Suite 400
Long Beach, CA 90806-2329
Phone (562) 997-7888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040417000564 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 7517952682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
La Community Health CenterGroup PAC ID 6103220066, 2 clinicians

Practice addresses (Care Compare)

1360 E Anaheim St
Suite 101
Long Beach, CA 90813-5514

7335 Van Nuys Blvd
Suite 117
Van Nuys, CA 91405-1951
Phone (747) 266-2666

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20A7433CAMDFamily Medicine Physician
7433CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Wellness Centers USA CurrentSince Feb 10, 2025 Accepting new patients
La Community Health Center CurrentSince Dec 1, 2023 Accepting new patients
The Roads Foundation, Inc. CurrentSince Mar 11, 2018 Accepting new patients
Community Medical Wellness Centers USA CurrentSince Feb 10, 2025 Accepting new patients
University of California Irvine Past Accepting new patients
Dignity Health Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
Allergy Asthma & Respiratory Care Center Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients

Locations

121 S Long Beach Blvd
Compton, CA 90221
Phone (310) 627-5850

1360 E Anaheim St
Ste 101
Long Beach, CA 90813
Phone (562) 270-0324

7335 Van Nuys Blvd
Ste 117
Van Nuys, CA 91405
Phone (747) 266-2666

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1215929880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 REDONDO AVE",
            "address_2": "SUITE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062329",
            "telephone_number": "562-997-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 REDONDO AVE",
            "address_2": "SUITE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062329",
            "telephone_number": "562-997-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUESADA",
        "first_name": "JAVIER",
        "middle_name": "TENA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.