Active NPI
Belmont Shore Wellness Center
- Clinic/Center
- Long Beach, CA
National Provider Identifier
1235772609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- BELMONT SHORE WELLNESS CENTER
- Practice address
- 5237 E 2ND St
Long Beach, CA 90803-5326 - Phone
- (562) 433-1200
- NPI assigned
- Oct 17, 2019
- Last updated
- Oct 17, 2019
- 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
- Diep Pham
- Title
- Owner
- Phone
- (562) 599-9220
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
5237 E 2ND St
Long Beach, CA 90803-5326
Mailing address
5237 E 2ND St
Long Beach, CA 90803-5326
National Provider Directory
National Provider DirectoryLocations
5237 E 2nd St
Long Beach, CA 90803
Phone (562) 433-1200
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Massage Therapist
- Long Beach, CA
- NPI 1033753744
-
- Massage Therapist
- Long Beach, CA
- NPI 1851935563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571270400000",
"number": "1235772609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5237 E 2ND ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908035326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5237 E 2ND ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908035326",
"telephone_number": "562-433-1200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELMONT SHORE WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-17",
"last_updated": "2019-10-17",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "DIEP",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "562-599-9220"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
- Melinda Marie Bellomy-Muth, RN, NP
- Judith Jennifer Belman, NP
- Belmont Heights Healthcare Center LLC (Country Villa Belmont Heights Healthcare Center)
- Belmont Psychological Services, a Psychology Corporation
- Belmont Shore Optometric Associates Inc.
- Sara Elizabeth Belmonte
- Jasmin Belmudez
- Chaundra L Belton
- Cinthya Beltran Soto
- Alma Beltran
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.