Bixby Knoll Place

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

BIXBY KNOLL PLACE

Practice address

3706 Pine Ave
Long Beach, CA 90807-3258

Phone

(562) 595-9713

Fax

(562) 595-0101

NPI assigned

May 16, 2007

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

Smyrna Dojcinovic

Title

Licensee

Phone

(310) 808-0883

Specialties & licenses 1

Addresses

Tax ID family

Bixby Knoll Place3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Loop Care Inc

  dba Bixby Knoll Place II

  • Intellectual Disabilities Intermediate Care Facility
  • Gardena, CA
  • NPI 1942464623
  NPD tax ID
• Loop Care, Inc.

  dba Bixby Knoll Place III

  • Intellectual Disabilities Intermediate Care Facility
  • Gardena, CA
  • NPI 1245405026
  NPD tax ID

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427265800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15920 S DALTON AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473908",
            "telephone_number": "310-808-0883",
            "fax_number": "310-808-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 PINE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073258",
            "telephone_number": "562-595-9713",
            "fax_number": "562-595-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIXBY KNOLL PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOJCINOVIC",
        "authorized_official_first_name": "SMYRNA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "310-808-0883"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eunice N Bisong, NP
• Mark Rudolph Bisson, O.D.
• Adrian Bitowft, OTR/L
• Ronald Bitter, M.D.
• Bixby Healthcare Group LLC
• Bixby Knolls Home Health, LLC
• Bixby Knolls Towers, Inc (Bixby Knolls Health Care & Rehab Center)
• Bixby Laser Center
• Bixby Medical Center Inc
• Black Girls Mental Health Collective, a Family Therapy Prof. Corp.

• Intellectual Disabilities Intermediate Care Facility in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Intellectual Disabilities Intermediate Care Facility 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.