Active NPI
Alexander Menjivar
- Rehabilitation Practitioner
- Long Beach, CA
National Provider Identifier
1407256134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 850 E Wardlow Rd
Long Beach, CA 90807-4628 - Phone
- (562) 981-9392
- Fax
- (562) 981-2622
- NPI assigned
- Aug 29, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
850 E Wardlow Rd
Long Beach, CA 90807-4628
Mailing address
850 E Wardlow Rd
Long Beach, CA 90807-4628
Phone (562) 981-9392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1407256134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 E WARDLOW RD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908074628",
"telephone_number": "562-981-9392",
"fax_number": "562-981-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 E WARDLOW RD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908074628",
"telephone_number": "562-981-9392",
"fax_number": "562-981-2622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENJIVAR",
"first_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-29",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"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 Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.