Organization Active NPI

Saint Antoine de Padoue Atlantic Health Clinic

  • Urgent Care Clinic/Center
  • Long Beach, CA
National Provider Identifier
1437563616
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
BU21412090 Issued in CA
Legal business name
SAINT ANTOINE DE PADOUE ATLANTIC HEALTH CLINIC
Practice address
226 W 10TH St
Long Beach, CA 90813-4218
Phone
(310) 847-9875
NPI assigned
Jun 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Ms. Bergerette Saint-Victor, FNP BC
Title
NP
Phone
(310) 847-0875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X BU21412090 CA Primary

Addresses

Primary practice location

226 W 10TH St
Long Beach, CA 90813-4218

Mailing address

226 W 10TH St
Long Beach, CA 90813-4218
Phone (310) 847-9875

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1437563616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 W 10TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134218",
            "telephone_number": "310-847-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 W 10TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134218",
            "telephone_number": "310-847-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ANTOINE DE PADOUE ATLANTIC HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "SAINT-VICTOR",
        "authorized_official_first_name": "BERGERETTE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "310-847-0875",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP BC"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "BU21412090",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 16, 2014; 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.