Envision Healthcare, Inc.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

ENVISION HEALTHCARE, INC.

Doing business as

Wide Open MRI

Practice address

3715 E South St
Long Beach, CA 90805-4521

Phone

(562) 602-3070

Fax

(562) 602-0727

NPI assigned

Sep 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leslie G. Weber

Title

Coo

Phone

(858) 455-7127

Specialties & licenses 1

Addresses

Other names 1

• WIDE OPEN MRI Doing business as

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427154889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 E SOUTH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054521",
            "telephone_number": "562-602-3070",
            "fax_number": "562-602-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 E SOUTH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054521",
            "telephone_number": "562-602-3070",
            "fax_number": "562-602-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "858-455-7127"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WIDE OPEN MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jocelyn M Enriquez
• Mayra Enriquez
• Tzintli Minicu Enriquez, MSW
• Malik Ensley
• Amir E Entezari, M.D.
• Envision Youth Services, Inc.
• Ephesian Wellness Center, Inc (Villa Maria Care Center)
• Ahamefule Epoh
• Cheri-Alexis Epps, LCSW
• Roger John Epstein, M.D.

• Physiological Laboratory in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physiological Laboratory in California

• 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.