Individual provider Active NPI

Christopher McBride

  • Acute Care Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1225860406
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95030609 Issued in CA
Practice address
2201 N Lakewood Blvd Ste D624
Long Beach, CA 90815-2552
Phone
(205) 394-1966
NPI assigned
Aug 16, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95030609 CA Primary

Addresses

Primary practice location

2201 N Lakewood Blvd Ste D624
Long Beach, CA 90815-2552

Mailing address

2201 N Lakewood Blvd Ste D624
Long Beach, CA 90815-2552
Phone (205) 394-1966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250113002527 CA Practitioner - Nurse Practitioner 6800324278 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Hospitalist Group Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

17150 Euclid St
Ste 200
Fountain Vly, CA 92708
Phone (714) 751-0995

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1225860406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 N LAKEWOOD BLVD STE D624",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152552",
            "telephone_number": "205-394-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N LAKEWOOD BLVD STE D624",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152552",
            "telephone_number": "205-394-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95030609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.