Organization Active NPI

Patricia a Maciog, MD

  • Primary Care Clinic/Center
  • Long Beach, CA
National Provider Identifier
1285055970
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A049415 Issued in CA
Legal business name
PATRICIA A MACIOG, MD
Practice address
6226 E Spring St
240
Long Beach, CA 90815-1423
Phone
(562) 928-7129
Fax
(562) 938-7431
NPI assigned
Dec 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Authorized official

Name
Dr. Patricia Maciog, MDNPI 1063436509
Title
Owner
Phone
(562) 938-7129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A049415 CA Primary

Addresses

Primary practice location

6226 E Spring St
240
Long Beach, CA 90815-1423

Mailing address

6226 E Spring St
240
Long Beach, CA 90815-1423
Phone (562) 928-7129

National Provider Directory

National Provider Directory

Locations

6226 E Spring St
#240
Long Beach, CA 90815
Phone (562) 928-7129

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": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1285055970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6226 E SPRING ST",
            "address_2": "240",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151423",
            "telephone_number": "562-928-7129",
            "fax_number": "562-938-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6226 E SPRING ST",
            "address_2": "240",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151423",
            "telephone_number": "562-928-7129",
            "fax_number": "562-938-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA A MACIOG, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "MACIOG",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-938-7129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A049415",
            "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 Dec 23, 2013; 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.