Active NPI
Annette West Degange, R.N.
- Addiction (Substance Use Disorder) Counselor
- Long Beach, CA
National Provider Identifier
1346402997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- RN319607
- Practice address
- 3125 E 7TH St
Long Beach, CA 90804-4932 - Phone
- (562) 439-7755
- Fax
- (562) 438-6891
- NPI assigned
- Jun 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RN319607 | CA | Primary |
Addresses
Primary practice location
3125 E 7TH St
Long Beach, CA 90804-4932
Mailing address
3125 E 7TH St
Long Beach, CA 90804-4932
Phone (562) 439-7755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190077CN | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN319607 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Substance Abuse Foundation of Long Beach | Past | Accepting new patients | |
| Safe Refuge | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Long Beach, CA
- NPI 1962621664
-
- Substance Abuse Rehabilitation Facility
- Long Beach, CA
- NPI 1730486044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214352000000",
"number": "1346402997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 E 7TH ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908044932",
"telephone_number": "562-439-7755",
"fax_number": "562-438-6891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 E 7TH ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908044932",
"telephone_number": "562-439-7755",
"fax_number": "562-438-6891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGANGE",
"first_name": "ANNETTE",
"middle_name": "WEST",
"name_prefix": "Ms.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-25",
"last_updated": "2008-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RN319607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190077CN",
"state": "CA"
}
],
"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 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.