Maximed, Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

MAXIMED, INC.

Practice address

320 Golden SHR
Suite # 200
Long Beach, CA 90802-4243

Phone

(562) 264-2800

Fax

(562) 264-2558

NPI assigned

Jul 26, 2010

Last updated

Jul 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jacob Tchamanian

Title

Ceo

Phone

(562) 264-2800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1326352857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 GOLDEN SHR",
            "address_2": "SUITE # 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024243",
            "telephone_number": "562-264-2800",
            "fax_number": "562-264-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 GOLDEN SHR",
            "address_2": "SUITE # 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024243",
            "telephone_number": "562-264-2800",
            "fax_number": "562-264-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "TCHAMANIAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-264-2800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "M3428",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maurice a Bell MD Inc
• Maurice M. Lam, M.D. & Associates
• Justin Allan Mauser, M.D.
• Bonnie Mavi, NP-C
• Laurine C Maxell, M.D.
• Sherri L. Maximiuk, PA
• Eileen Maxwel, MA, MFT
• Gabriella Bostard Maxwell
• Angela May-Graham
• Michelle Vincenza May, FNP

• Preferred Provider Organization in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.