Organization Active NPI

George H Tarryk Jr MD

  • Internal Medicine Physician
  • Long Beach, CA
National Provider Identifier
1407997463
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G14655 Issued in CA
Legal business name
GEORGE H TARRYK JR MD
Practice address
2491 Pacific Ave
Suite 3
Long Beach, CA 90806-2900
Phone
(562) 989-1322
Fax
(562) 989-1512
NPI assigned
Feb 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
George H Tarryk Jr., MDNPI 1609817774
Title
Director
Phone
(562) 989-1322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G14655 CA Primary

Addresses

Primary practice location

2491 Pacific Ave
Suite 3
Long Beach, CA 90806-2900

Mailing address

2491 Pacific Ave
Suite 3
Long Beach, CA 90806-2900
Phone (562) 989-1322

Other identifiers 1

IdentifierTypeStateIssuer
00G146551MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407997463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2491 PACIFIC AVE",
            "address_2": "SUITE 3",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062900",
            "telephone_number": "562-989-1322",
            "fax_number": "562-989-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2491 PACIFIC AVE",
            "address_2": "SUITE 3",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062900",
            "telephone_number": "562-989-1322",
            "fax_number": "562-989-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE H TARRYK JR MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TARRYK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "562-989-1322",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G14655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G146551",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.