NPIMap

Organization Active NPI

Universal Care

  • Pediatrics Physician
  • Long Beach, CA
National Provider Identifier
1376632877
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
KNOXKEENE9330209 Issued in CA
Legal business name
UNIVERSAL CARE
Practice address
2360 Pacific Ave
Long Beach, CA 90806-3051
Phone
(562) 981-6865
Fax
(562) 595-6471
NPI assigned
Oct 12, 2006
Last updated
Jul 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
John Donald Adams Jr., DONPI 1801852900
Title
Chief Medical Officer
Phone
(562) 981-4008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X KNOXKEENE9330209 CA Primary

Addresses

Primary practice location

2360 Pacific Ave
Long Beach, CA 90806-3051

Mailing address

1600 E Hill Street
Signal Hill, CA 90755-3682
Phone (562) 424-6200

Other identifiers 1

IdentifierTypeStateIssuer
GR0019111MedicaidCA

National Provider Directory

National Provider Directory

Locations

3200 Long Beach Blvd
Long Beach, CA 90807
Phone (562) 548-6500

1111 W 6th St
Fl 2
Los Angeles, CA 90017
Phone (213) 977-9704

1936 W Chapman Ave
Orange, CA 92868
Phone (714) 939-5990

14600 Sherman Way
Fl 1
Van Nuys, CA 91405
Phone (818) 756-8915

Practitioners & affiliated clinicians

Practitioners 195

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 195

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1376632877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E HILL STREET",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907553682",
            "telephone_number": "562-424-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908063051",
            "telephone_number": "562-981-6865",
            "fax_number": "562-595-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "562-981-4008",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "KNOXKEENE9330209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0019111",
            "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 Jul 19, 2007; 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.