NPIMap

Organization Active NPI

West County Medical Corp-Non Profit

  • Community Health Clinic/Center
  • Long Beach, CA
National Provider Identifier
1245442904
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
960001048 Issued in CA
Legal business name
WEST COUNTY MEDICAL CORP-NON PROFIT
Practice address
100 E Market St
Long Beach, CA 90805-5924
Phone
(562) 428-4222
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Seanjay Ramanand Sharma
Title
Executive Director
Phone
(661) 254-6630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 960001048 CA Primary

Addresses

Primary practice location

100 E Market St
Long Beach, CA 90805-5924

Mailing address

26460 Summit Cir
Santa Clarita, CA 91350-2991
Phone (661) 254-6630

Other identifiers 1

IdentifierTypeStateIssuer
CMM70763FMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1245442904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26460 SUMMIT CIR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502991",
            "telephone_number": "661-254-6630",
            "fax_number": "661-254-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MARKET ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908055924",
            "telephone_number": "562-428-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COUNTY MEDICAL CORP-NON PROFIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SEANJAY",
        "authorized_official_middle_name": "RAMANAND",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "661-254-6630"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "960001048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM70763F",
            "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 Jan 31, 2017; 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.