St Antoine de Padoue Health Clinic Corp.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ST ANTOINE DE PADOUE HEALTH CLINIC CORP.

Practice address

127 W 7TH St
Long Beach, CA 90813-4344

Phone

(562) 324-6901

Fax

(562) 977-5715

NPI assigned

Aug 7, 2015

Organization subpart

No

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

Authorized official

Name

Bergerette Saint-Victor, FNP

Title

Ceo

Phone

(562) 977-5715

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1376929828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134344",
            "telephone_number": "562-977-5715",
            "fax_number": "562-977-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134344",
            "telephone_number": "562-324-6901",
            "fax_number": "562-977-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTOINE DE PADOUE HEALTH CLINIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "SAINT-VICTOR",
        "authorized_official_first_name": "BERGERETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-977-5715",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "BU21412090",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.