Organization Active NPI

Greatfaith Managed Care Inc.

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1407782584
Registry record updated Oct 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.