Organization Active NPI

Inner Luz Psychiatry Nursing Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1255242699
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
INNER LUZ PSYCHIATRY NURSING INC
Practice address
3605 Long Beach Blvd Ste 321
Long Beach, CA 90807-4025
Phone
(323) 366-4994
Fax
(323) 372-2669
NPI assigned
Sep 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Mr. Roberto Jimenez, NP
Title
Psychiatric Nurse Practitioner
Phone
(323) 366-4994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3605 Long Beach Blvd Ste 321
Long Beach, CA 90807-4025

Mailing address

3605 Long Beach Blvd Ste 321
Long Beach, CA 90807-4025
Phone (323) 366-4994

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1255242699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 LONG BEACH BLVD STE 321",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074025",
            "telephone_number": "323-366-4994",
            "fax_number": "323-372-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 LONG BEACH BLVD STE 321",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074025",
            "telephone_number": "323-366-4994",
            "fax_number": "323-372-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER LUZ PSYCHIATRY NURSING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "323-366-4994",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.