Active NPI
Greatfaith Managed Care Inc.
- Family Medicine Physician
- Long Beach, CA
National Provider Identifier
1407782584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GREATFAITH MANAGED CARE INC.
- Practice address
- 3711 Long Beach Blvd Ste 5049
Long Beach, CA 90807-3315 - Phone
- (626) 215-3988
- Fax
- (424) 535-1886
- NPI assigned
- Jun 18, 2026
- Last updated
- Oct 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shi Tang
- Title
- Ceo
- Phone
- (626) 215-3988
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | |||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
3711 Long Beach Blvd Ste 5049
Long Beach, CA 90807-3315
Mailing address
3711 Long Beach Blvd Ste 5049
Long Beach, CA 90807-3315
Phone (424) 402-0661
National Provider Directory
National Provider DirectoryLocations
3711 Long Beach Blvd
Ste 5049
Long Beach, CA 90807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792281600000",
"number": "1407782584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3711 LONG BEACH BLVD STE 5049",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073315",
"telephone_number": "424-402-0661",
"fax_number": "424-535-1886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3711 LONG BEACH BLVD STE 5049",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073315",
"telephone_number": "626-215-3988",
"fax_number": "424-535-1886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATFAITH MANAGED CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-18",
"last_updated": "2026-10-18",
"certification_date": "2026-10-18",
"status": "A",
"authorized_official_last_name": "TANG",
"authorized_official_first_name": "SHI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-215-3988"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"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 Oct 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.