Organization Active NPI

Michael D. Myers, M.D., Inc.

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1245398015
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G37716 Issued in CA
Legal business name
MICHAEL D. MYERS, M.D., INC.
Practice address
300 Oceangate Ste 130
Long Beach, CA 90802-4328
Phone
(562) 493-2266
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Dr. Michael D Myers, M.D.
Title
President
Phone
(562) 493-2266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G37716 CA Primary

Addresses

Primary practice location

300 Oceangate Ste 130
Long Beach, CA 90802-4328

Mailing address

16835 Algonquin St Ste 300
Huntington Beach, CA 92649-3810
Phone (562) 493-2266

Other identifiers 1

IdentifierTypeStateIssuer
00G377160OtherCABLUE SHIELD OF CA

National Provider Directory

National Provider Directory

Locations

300 Oceangate
Ste 130
Long Beach, CA 90802
Phone (562) 493-2266

10861 Cherry St
Ste 300
Los Alamitos, CA 90720
Phone (562) 493-2266

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1245398015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16835 ALGONQUIN ST STE 300",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926493810",
            "telephone_number": "562-493-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OCEANGATE STE 130",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024328",
            "telephone_number": "562-493-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. MYERS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-493-2266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G37716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00G377160",
            "state": "CA"
        }
    ],
    "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 Nov 18, 2024; 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.