Active NPI
Ivar Mac Szper, MD
- Neurological Surgery Physician
- Long Beach, CA
National Provider Identifier
1457305658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- G39971
- Practice address
- 2888 Long Beach Blvd
Suite 240
Long Beach, CA 90806-1530 - Phone
- (562) 595-7696
- Fax
- (562) 490-3846
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | G39971 | CA | Primary |
Addresses
Primary practice location
2888 Long Beach Blvd
Suite 240
Long Beach, CA 90806-1530
Mailing address
2888 Long Beach Blvd
Suite 240
Long Beach, CA 90806-1530
Phone (562) 595-7696
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G399710 | Medicaid | CA | |
| WG39971A | Other | CA | PPIN |
| W19727 | Other | CA | GROUP ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39971 | CA | MD | Dentist |
| G39971 | CA | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303171200000",
"number": "1457305658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2888 LONG BEACH BLVD",
"address_2": "SUITE 240",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061530",
"telephone_number": "562-595-7696",
"fax_number": "562-490-3846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2888 LONG BEACH BLVD",
"address_2": "SUITE 240",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061530",
"telephone_number": "562-595-7696",
"fax_number": "562-490-3846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZPER",
"first_name": "IVAR",
"middle_name": "MAC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2011-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "G39971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G399710",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPIN",
"identifier": "WG39971A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP ID",
"identifier": "W19727",
"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 Apr 19, 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.