Organization Active NPI

Barry B. Ceverha, M.D., Inc.

  • Specialist
  • Long Beach, CA
National Provider Identifier
1447568852
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G29654 Issued in CA
Legal business name
BARRY B. CEVERHA, M.D., INC.
Practice address
2865 Atlantic Ave
Suite 202
Long Beach, CA 90806-1740
Phone
(562) 427-5388
Fax
(562) 427-6467
NPI assigned
Sep 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Dr. Barry Ceverha, M.D.NPI 1972576486
Title
Neurosurgeon
Phone
(562) 427-5377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G29654 CA Primary

Addresses

Primary practice location

2865 Atlantic Ave
Suite 202
Long Beach, CA 90806-1740

Mailing address

2865 Atlantic Ave
Suite 202
Long Beach, CA 90806-1740
Phone (562) 427-5388

Other identifiers 2

IdentifierTypeStateIssuer
00G29654MedicaidCA
G29654OtherCAMEDICARE (OLD ID NUMBER .... STATE LICENSE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1447568852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 ATLANTIC AVE",
            "address_2": "SUITE 202",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061740",
            "telephone_number": "562-427-5388",
            "fax_number": "562-427-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 ATLANTIC AVE",
            "address_2": "SUITE 202",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061740",
            "telephone_number": "562-427-5388",
            "fax_number": "562-427-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY B. CEVERHA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "CEVERHA",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "NEUROSURGEON",
        "authorized_official_telephone_number": "562-427-5377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G29654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G29654",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (OLD ID NUMBER .... STATE LICENSE)",
            "identifier": "G29654",
            "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 20, 2010; 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.