Greater Long Beach Vascular Access, a Medical Corporation

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

GREATER LONG BEACH VASCULAR ACCESS, A MEDICAL CORPORATION

Practice address

16506 Lakewood Blvd
Suite 200
Bellflower, CA 90706-5164

Phone

(562) 867-5300

Fax

(562) 867-8666

NPI assigned

Nov 17, 2009

Last updated

Sep 20, 2011By 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

Samia Khwaja, MD

Title

Vice President

Phone

(562) 867-5300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 3

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.

• Chadi Chahin, M.D.

  • Vascular & Interventional Radiology Physician
  • Glendale, CA
  • NPI 1619935590
  NPD (past)
• Sita L Yanamadala, M.D.

  • Nephrology Physician
  • Lynwood, CA
  • NPI 1821049255
  NPD (past)
• Parag M Rami, MD

  • Diagnostic Radiology Physician
  • Tacoma, WA
  • NPI 1982679585
  NPD (past)

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1447587126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16506 LAKEWOOD BLVD",
            "address_2": "SUITE 200",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065164",
            "telephone_number": "562-867-5300",
            "fax_number": "562-867-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16506 LAKEWOOD BLVD",
            "address_2": "SUITE 200",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065164",
            "telephone_number": "562-867-5300",
            "fax_number": "562-867-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER LONG BEACH VASCULAR ACCESS, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "KHWAJA",
        "authorized_official_first_name": "SAMIA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "562-867-5300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447587126",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Graham
• Belinda S Granada, DDS
• Marilyn Jean Grandberry
• Justin James Grasmeyer, D.C.
• Lucia S. Grayson, MD
• Gordon Carver Greaves
• Jastine Green
• Tameka Shea Green
• Myeshia De'Vette Griddine
• Maritsa Grijalva

• Nephrology Physician in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.