Organization Active NPI

Scan Health Plan

  • Health Maintenance Organization
  • Long Beach, CA
National Provider Identifier
1386356434
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
SCAN HEALTH PLAN
Practice address
3800 Kilroy Airport Way Ste 100
Long Beach, CA 90806-6818
Phone
(800) 559-3500
NPI assigned
Dec 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Jennifer Haynes, RN, MBA
Title
Sr. Director Healthcare Delivery
Phone
(562) 997-3191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

3800 Kilroy Airport Way Ste 100
Long Beach, CA 90806-6818

Mailing address

3800 Kilroy Airport Way Ste 100
Long Beach, CA 90806-6818
Phone (800) 559-3500

National Provider Directory

National Provider Directory
Tax ID family
Scan Health Plan R4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3800 Kilroy Airport Way
Ste 100
Long Beach, CA 90806
Phone (559) 249-1867

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1386356434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 KILROY AIRPORT WAY STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908066818",
            "telephone_number": "800-559-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 KILROY AIRPORT WAY STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908066818",
            "telephone_number": "800-559-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCAN HEALTH PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SR. DIRECTOR HEALTHCARE DELIVERY",
        "authorized_official_telephone_number": "562-997-3191",
        "authorized_official_credential": "RN, MBA"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 24, 2023; 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.