Loida P Constantino MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A39840 Issued in CA

Legal business name

LOIDA P CONSTANTINO MD INC

Practice address

1777 N Bellflower Blvd
Ste 104
Long Beach, CA 90815-4013

Phone

(562) 961-8820

Fax

(562) 961-8828

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Loida P Constantino, MDNPI 1487767604

Title

Owner

Phone

(562) 961-8820

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Loida Constantino, M.D.

  • Family Medicine Physician
  • Long Beach, CA
  • NPI 1487767604
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1306983960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 N BELLFLOWER BLVD",
            "address_2": "STE 104",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154013",
            "telephone_number": "562-961-8820",
            "fax_number": "562-961-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 N BELLFLOWER BLVD",
            "address_2": "STE 104",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154013",
            "telephone_number": "562-961-8820",
            "fax_number": "562-961-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOIDA P CONSTANTINO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "CONSTANTINO",
        "authorized_official_first_name": "LOIDA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-961-8820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A39840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A398400",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "05D1028070",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (TYPE-1)",
            "identifier": "1487767604",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey Michele Logan, DDS
• James Norman Logan, M.D.
• Tracie D. Logrande, LCSW
• Hannah Logsdon
• Devin S Loi, NURSE
• Nancy Lolenese Tagaloa
• Joseph Lombardo, M.D.
• Patricia Lee Lombardo, OTR/L
• Kaitlyn Sabrina Lombera
• Ana Lomeli

• Family Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.