Active NPI
Alamitos Beach Cities Podiatry Group
- Foot & Ankle Surgery Podiatrist
- Long Beach, CA
National Provider Identifier
1255668976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4826
- Legal business name
- ALAMITOS BEACH CITIES PODIATRY GROUP
- Practice address
- 304 Cherry Ave
Long Beach, CA 90802-3848 - Phone
- (562) 496-3846
- Fax
- (562) 438-3690
- NPI assigned
- Nov 17, 2009
- 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
- Dr. Mie Shirai, DPM
- Title
- Coo
- Phone
- (562) 496-3846
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4826 | CA | Primary |
Addresses
Primary practice location
304 Cherry Ave
Long Beach, CA 90802-3848
Mailing address
304 Cherry Ave
Long Beach, CA 90802-3848
Phone (562) 496-3846
National Provider Directory
National Provider Directory- Tax ID family
- Alamitos Beach Cities Podiatry Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Long Beach, CA
- NPI 1245684844
Locations
304 Cherry Ave
Long Beach, CA 90802
Phone (562) 433-0478
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258416000000",
"number": "1255668976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 CHERRY AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908023848",
"telephone_number": "562-496-3846",
"fax_number": "562-438-3690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 CHERRY AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908023848",
"telephone_number": "562-496-3846",
"fax_number": "562-438-3690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAMITOS BEACH CITIES PODIATRY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-17",
"last_updated": "2009-11-17",
"status": "A",
"authorized_official_last_name": "SHIRAI",
"authorized_official_first_name": "MIE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "562-496-3846",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4826",
"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 Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.