Organization Active NPI

Alamitos Beach Cities Podiatry Group

  • Foot & Ankle Surgery Podiatrist
  • Long Beach, CA
National Provider Identifier
1255668976
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4826 Issued in CA
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

Updated by the provider on Nov 17, 2009

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.