Beach Physical Medicine PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BEACH PHYSICAL MEDICINE PC

Practice address

5512 E Britton Dr Ste 100
Long Beach, CA 90815-3149

Phone

(562) 594-6644

NPI assigned

Dec 20, 2022

Organization subpart

No

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

Authorized official

Name

Nathanial Lynott, DCNPI 1154594570

Title

Authorized Official

Phone

(562) 594-6644

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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

• Nathanial Frederick Lynott, D.C., L.AC

  • Chiropractor
  • Long Beach, CA
  • NPI 1154594570
  Medicare reassignment NPD Authorized official
• Nahom Tassew

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1316689185
  Medicare reassignment NPD
• Darryl A Bates, MD

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1376707901
  NPD

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1356053508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 E BRITTON DR STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153149",
            "telephone_number": "562-594-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 E BRITTON DR STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153149",
            "telephone_number": "562-594-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH PHYSICAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "LYNOTT",
        "authorized_official_first_name": "NATHANIAL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "562-594-6644",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beach Cities Eldercare, Inc.
• Beach Cities Medical Group
• Beach City Wellness, Inc.
• Beach Medical Group Inc
• Beach Orthopedic and Neurosurgical Associates a Professional Corp
• Beach Side Birth Center Long Beach
• Beach Specialty Medical Group
• Krystal Dawn Beachler
• Scott Beachley, LMT
• Valerie Eden Beachley, MASSAGE THERAPY

• General Practice Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.