Long Beach Spine & Rehabilitation

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC24681 Issued in CA

Legal business name

LONG BEACH SPINE & REHABILITATION

Practice address

3434 N.Los Coyotes Diagonal
Long Beach, CA 90808-2915

Phone

(562) 938-8770

Fax

(562) 938-8762

NPI assigned

Mar 2, 2012

Last updated

May 4, 2017By 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

Marta Lynn Callotta, DC, CCSPNPI 1750559175

Title

Dr. Marta Callotta DC, CCSP / Owner

Phone

(562) 938-8770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Long Beach Spine Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Long Beach Spine & Rehabilitation Chiropractic Health Center

  • Chiropractor
  • Long Beach, CA
  • NPI 1760542898
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marta Callotta, DC

  • Chiropractor
  • Long Beach, CA
  • NPI 1750559175
  Medicare reassignment NPD Authorized official
• Mireya Hernandez, D.C.

  • Chiropractor
  • Lakewood, CA
  • NPI 1295060135
  NPD (past)

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1447524806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 N.LOS COYOTES DIAGONAL",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082915",
            "telephone_number": "562-938-8770",
            "fax_number": "562-938-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 N.LOS COYOTES DIAGONAL",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082915",
            "telephone_number": "562-938-8770",
            "fax_number": "562-938-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH SPINE & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "CALLOTTA",
        "authorized_official_first_name": "MARTA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DR. MARTA CALLOTTA DC, CCSP / OWNER",
        "authorized_official_telephone_number": "562-938-8770",
        "authorized_official_credential": "DC, CCSP"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC24681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Beach Quest Dialysis Center
• Long Beach Radiation Oncology Medical Group
• Long Beach Recovery, Inc.
• Long Beach Shores Behavioral Health
• Long Beach Sleep Institute
• Long Beach Spine & Rehabilitation Chiropractic Health Center
• Long Beach Spring Family Medical GRP
• Long Beach Surgery Center, LP (Surgery Center of Long Beach)
• Long Beach Surgical Group a Medical Corporation
• Long Beach Surgical Institute

• Sports Physician Chiropractor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.