Active NPI
Open Access Medical Care Inc
- Nephrology Physician
- Long Beach, CA
National Provider Identifier
1306170709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A88403
- Legal business name
- OPEN ACCESS MEDICAL CARE INC
- Practice address
- 3760 Atlantic Ave
Long Beach, CA 90807-3409 - Phone
- (562) 595-7467
- Fax
- (562) 402-2214
- NPI assigned
- Oct 1, 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. Rajiv K. Dhamija, M.D.
- Title
- Medical Director
- Phone
- (562) 595-7467
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | A88403 | CA | Primary |
Addresses
Primary practice location
3760 Atlantic Ave
Long Beach, CA 90807-3409
Mailing address
3760 Atlantic Ave
Long Beach, CA 90807-3409
Phone (562) 595-7467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091229000610 | CA | Part B Supplier - Clinic/Group Practice | 2961542717 |
Receives reassigned benefits from 2 practitioners Practice locations: Long Beach, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2005312 | Open Access Medical Care | Certificate of waiver | Mar 23, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Norco, CA
- NPI 1831143056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592784000000",
"number": "1306170709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3760 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073409",
"telephone_number": "562-595-7467",
"fax_number": "562-402-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3760 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073409",
"telephone_number": "562-595-7467",
"fax_number": "562-402-2214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPEN ACCESS MEDICAL CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-01",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A",
"authorized_official_last_name": "DHAMIJA",
"authorized_official_first_name": "RAJIV",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "562-595-7467",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A88403",
"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 Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.