Active NPI
Denise Rita Purdie, M.D.
- Pediatric Critical Care Medicine Physician
- Long Beach, CA
National Provider Identifier
1427342377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- A122742
- Practice address
- 2801 Atlantic Ave
Long Beach, CA 90806-1701 - Phone
- (562) 933-8743
- Fax
- (562) 933-8744
- NPI assigned
- Jun 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 122742 | CA | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | A122742 | CA | Primary |
Addresses
Primary practice location
2801 Atlantic Ave
Long Beach, CA 90806-1701
Mailing address
4140 W 190TH St
Torrance, CA 90504-5513
Other practice location 1
8700 Beverly Blvd Ste 4221
West Hollywood, CA 90048-1804
Phone (310) 423-6310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427342377 | Medicaid | CA |
Other names 1
- Ms. Denise Rita Purdie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122742 | CA | MD | Clinical Social Worker |
| A122742 | CA | MD | Pediatric Critical Care Medicine Physician |
Interoperability endpoints
- dpurdie501316@direct.memorialcare.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1427342377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 W 190TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905045513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061701",
"telephone_number": "562-933-8743",
"fax_number": "562-933-8744"
}
],
"practiceLocations": [
{
"address_1": "8700 Beverly Blvd Ste 4221",
"address_purpose": "LOCATION",
"city": "West Hollywood",
"state": "CA",
"postal_code": "900481804",
"country_code": "US",
"telephone_number": "310-423-6310",
"fax_number": "310-423-4131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PURDIE",
"first_name": "DENISE",
"middle_name": "RITA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "122742",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "CA",
"license": "A122742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427342377",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "PURDIE",
"middle_name": "RITA",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}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 May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.