VA Long Beach Healthcare System

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 10236 Issued in CA

Legal business name

VA LONG BEACH HEALTHCARE SYSTEM

Practice address

5901 East 7TH Street
Long Beach, CA 90822

Phone

(562) 826-5275

Fax

(562) 826-5471

NPI assigned

Oct 3, 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

Mrs. Shail Bala Rastogi, SOCIAL WORKER

Title

Care Coordinator Home Telehealth

Phone

(562) 826-5275

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447344726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 EAST 7TH STREET",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90822",
            "telephone_number": "562-826-5275",
            "fax_number": "562-826-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 EAST 7TH STREET",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90822",
            "telephone_number": "562-826-5275",
            "fax_number": "562-826-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA LONG BEACH HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RASTOGI",
        "authorized_official_first_name": "SHAIL",
        "authorized_official_middle_name": "BALA",
        "authorized_official_title_or_position": "CARE COORDINATOR HOME TELEHEALTH",
        "authorized_official_telephone_number": "562-826-5275",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SOCIAL WORKER"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 10236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VA Hospital - Long Beach
• VA Long Beach
• VA Long Beach
• VA Long Beach Healthcare System
• VA Long Beach Healthcare System
• VA Long Beach Healthcare System
• VA Long Beach Heath Care System
• VA Long Beach Medical Center
• VA MC Long Beach
• Vanda VA

• Clinical Social Worker in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Social Worker 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.