Individual provider Active NPI

Linda Smith, RN

  • Administrator Registered Nurse
  • Long Beach, CA
National Provider Identifier
1437334471
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
313832 Issued in CA
Practice address
1500 Hughes Way
Long Beach, CA 90810-1870
Phone
(323) 489-5835
NPI assigned
Jan 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Administrator Registered Nurse 163WA2000X 313832 CA Primary

Addresses

Primary practice location

1500 Hughes Way
Long Beach, CA 90810-1870

Mailing address

3125 E 7TH St
Long Beach, CA 90804-4932
Phone (562) 439-7755

Other identifiers 1

IdentifierTypeStateIssuer
190077AHNMedicaidCA

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
313832CAMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Altamed Health Services Corp CurrentSince Sep 20, 2020 Accepting new patients
Safe Refuge Past Accepting new patients
Substance Abuse Foundation of Long Beach Past Accepting new patients

Locations

1500 Hughes Way
Long Beach, CA 90810
Phone (213) 252-4300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1437334471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044932",
            "telephone_number": "562-439-7755",
            "fax_number": "562-438-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HUGHES WAY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908101870",
            "telephone_number": "323-489-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LINDA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "313832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190077AHN",
            "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 Sep 18, 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.