Individual provider Active NPI

Ivar Mac Szper, MD

  • Neurological Surgery Physician
  • Long Beach, CA
National Provider Identifier
1457305658
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G39971 Issued in CA
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

Updated by the provider on Apr 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G399710MedicaidCA
WG39971AOtherCAPPIN
W19727OtherCAGROUP 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

LicenseStateTypeSpecialty
39971CAMDDentist
G39971CAMDNeurological 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.

Verify at the official NPI Registry.