Organization Active NPI

Molina Care Connections, LLC.

Doing business as Molina CC

  • Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1407243223
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MOLINA CARE CONNECTIONS, LLC.
Doing business as
Molina CC
Practice address
200 Oceangate Ste 100
Long Beach, CA 90802-4317
Phone
(888) 562-5442
Fax
(844) 861-1929
NPI assigned
Apr 20, 2015
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MOLINA HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Gina Turley
Title
Mhi - SVP, Care Connections
Phone
(888) 562-5442

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

200 Oceangate Ste 100
Long Beach, CA 90802-4317

Mailing address

200 Oceangate
Suite 100
Long Beach, CA 90802-4317
Phone (888) 562-5442

Other practice location 1

3000 Corporate Exchange Dr
Columbus, OH 43231-7689
Phone (888) 562-5442

Other names 2

  • Molina CC Doing business as
  • Molina Pathways of Texas, Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, OH, IL, MI, WI, FL, ID, SC, AZ, KY, NV, MA, IA, NE, CA, MS, CT18 enrollments

Enrollment records 18

Enrollment IDStateProvider typePAC IDDetails
O20170427000126 TX Part B Supplier - Clinic/Group Practice 5799062881 Receives reassigned benefits from 158 practitioners
Practice locations: Irving, TX
O20171212002486 NM Part B Supplier - Clinic/Group Practice 5799062881 Receives reassigned benefits from 47 practitioners
Practice locations: Albuquerque, NM
O20180220001792 OH Part B Supplier - Clinic/Group Practice 5799062881 Receives reassigned benefits from 126 practitioners
Practice locations: Columbus, OH
O20180301000229 IL Part B Supplier - Clinic/Group Practice 5799062881 Receives reassigned benefits from 59 practitioners
Practice locations: Downers Grove, IL; Oak Brook, IL
O20180320001095 MI Part B Supplier - Clinic/Group Practice 5799062881 Receives reassigned benefits from 158 practitioners
Practice locations: Troy, MI
O20180330000006 WI Part B Supplier - Clinic/Group Practice 5799062881 Receives reassigned benefits from 13 practitioners
Practice locations: Milwaukee, WI
O20180515001421 FL Part B Supplier - Clinic/Group Practice 5799062881 Receives reassigned benefits from 90 practitioners
Practice locations: Doral, FL
O20180517000247 ID Part B Supplier - Clinic/Group Practice 5799062881 Receives reassigned benefits from 63 practitioners
Practice locations: Boise, ID
O20191016002409 SC Part B Supplier - Clinic/Group Practice 5799062881 Receives reassigned benefits from 99 practitioners
Practice locations: Daniel Island, SC; North Charleston, SC
O20211118001861 AZ Part B Supplier - Clinic/Group Practice 5799062881 Receives reassigned benefits from 14 practitioners
Practice locations: Phoenix, AZ
O20211213002465 KY Part B Supplier - Clinic/Group Practice 5799062881 Receives reassigned benefits from 88 practitioners
Practice locations: Louisville, KY
O20220125002065 NV Part B Supplier - Clinic/Group Practice 5799062881 Receives reassigned benefits from 23 practitioners
Practice locations: Las Vegas, NV
O20220323001711 MA Part B Supplier - Clinic/Group Practice 5799062881 Receives reassigned benefits from 57 practitioners
Practice locations: Waltham, MA
O20230710000561 IA Part B Supplier - Clinic/Group Practice 5799062881 Receives reassigned benefits from 26 practitioners
Practice locations: Des Moines, IA
O20240207002512 NE Part B Supplier - Clinic/Group Practice 5799062881 Receives reassigned benefits from 26 practitioners
Practice locations: Omaha, NE
O20240315000673 CA Part B Supplier - Clinic/Group Practice 5799062881 Practice locations: Long Beach, CA
O20250120000531 MS Part B Supplier - Clinic/Group Practice 5799062881 Receives reassigned benefits from 57 practitioners
Practice locations: Jackson, MS
O20250417002972 CT Part B Supplier - Clinic/Group Practice 5799062881 Receives reassigned benefits from 86 practitioners
Practice locations: Farmington, CT

National Provider Directory

National Provider Directory
Part of
Molina Healthcare

Locations

5055 E Washington St
Ste 210
Phoenix, AZ 85034
Phone (800) 424-5891

175 Scott Swamp Rd
Farmington, CT 06032
Phone (860) 249-6752

8300 NW 33rd St
Ste 400
Doral, FL 33122
Phone (266) 472-4585

500 SW 7th St
Ste 304
Des Moines, IA 50309

1520 Kensington Rd
Ste 212
Oak Brook, IL 60523
Phone (855) 687-7861

5100 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 305-6267

1075 Main St
Fl 4
Waltham, MA 02451

880 W Long Lake Rd
Troy, MI 48098
Phone (248) 227-6316

188 E Capitol St
Ste 700
Jackson, MS 39201
Phone (844) 809-8438

14748 W Center Rd
Ste 104
Omaha, NE 68144

400 Tijeras Ave NW
Ste 200
Albuquerque, NM 87102

3000 Corporate Exchange Dr
Columbus, OH 43231
Phone (614) 942-3042

4105 Faber Place Dr
Ste 120
North Charleston, SC 29405
Phone (562) 549-3966

1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787

1255 W 15th St
Ste 100
Plano, TX 75075
Phone (214) 708-0420

11200 W Parkland Ave
Milwaukee, WI 53224

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 542

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 542

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1407243223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024317",
            "telephone_number": "888-562-5442",
            "fax_number": "844-861-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024317",
            "telephone_number": "888-562-5442",
            "fax_number": "844-861-1929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Corporate Exchange Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432317689",
            "country_code": "US",
            "telephone_number": "888-562-5442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOLINA CARE CONNECTIONS, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOLINA HEALTHCARE, INC.",
        "enumeration_date": "2015-04-20",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "TURLEY",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "MHI - SVP, CARE CONNECTIONS",
        "authorized_official_telephone_number": "888-562-5442"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Molina CC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Molina Pathways of Texas, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Molina Pathways of Texas, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 14, 2024; 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.