Organization Active NPI

Oceanpointe, Inc.

Doing business as Optimal Wellness Health Systems

  • General Practice Physician
  • Long Beach, CA
National Provider Identifier
1376603928
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20A7285 Issued in CA
Legal business name
OCEANPOINTE, INC.
Doing business as
Optimal Wellness Health Systems
Practice address
1777 N Bellflower Blvd
107
Long Beach, CA 90815-4013
Phone
(562) 597-6020
Fax
(562) 597-6024
NPI assigned
Dec 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Adrienne Ann Grant-Jones, D.O.
Title
Ceo
Phone
(562) 597-6020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 20A7285 CA Primary

Addresses

Primary practice location

1777 N Bellflower Blvd
107
Long Beach, CA 90815-4013

Mailing address

1777 N Bellflower Blvd
107
Long Beach, CA 90815-4013
Phone (562) 597-6020

Other names 1

  • Optimal Wellness Health Systems Doing business as

National Provider Directory

National Provider Directory

Locations

1777 N Bellflower Blvd
Ste 107
Long Beach, CA 90815
Phone (562) 446-7586

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376603928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 N BELLFLOWER BLVD",
            "address_2": "107",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154013",
            "telephone_number": "562-597-6020",
            "fax_number": "562-597-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 N BELLFLOWER BLVD",
            "address_2": "107",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154013",
            "telephone_number": "562-597-6020",
            "fax_number": "562-597-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANPOINTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRANT-JONES",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-597-6020",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A7285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Wellness Health Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.