NPIMap

Individual provider Active NPI

John Paul Cardin Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Long Beach, CA
National Provider Identifier
1467411744
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A41250 Issued in CA
Practice address
2880 Atlantic Ave
Suite 230
Long Beach, CA 90806-1735
Phone
(562) 424-4404
Fax
(562) 424-5180
NPI assigned
Mar 23, 2006
Last updated
May 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A41250 CA Primary
Maternal & Fetal Medicine Physician 207VM0101X A41250 CA
General Practice Physician 208D00000X A41250 CA

Addresses

Primary practice location

2880 Atlantic Ave
Suite 230
Long Beach, CA 90806-1735

Mailing address

2880 Atlantic Ave
Suite 230
Long Beach, CA 90806-1714
Phone (562) 424-4404

Other practice location 1

2880 Atlantic Ave Ste 110
Long Beach, CA 90806-1739
Phone (562) 424-4404

Other identifiers 3

IdentifierTypeStateIssuer
00A412502MedicaidCA
00A412501MedicaidCA
00A412500MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170223001499 CA Practitioner - Family Practice 0840571477 Receives reassigned benefits from 4 practitioners
Practice locations: Long Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2880 Atlantic Ave
Long Beach, CA 90806-1735
Phone (562) 424-4404

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41250CAMDPharmacist
A41250CAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardin Healthcare, a Medical Group, Inc. Obstetrics & Gynecology Current Accepting new patients
University of California Irvine Past Accepting new patients
Dignity Health Past Accepting new patients
Cardin Health Care Inc Ecm PastSince Oct 19, 1984 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
St. Mary Medical Center Past Accepting new patients

Locations

2880 Atlantic Ave
Ste 110
Long Beach, CA 90806
Phone (562) 424-4404

2880 Atlantic Ave
Ste 230
Long Beach, CA 90806
Phone (562) 424-4404

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Practitioners & affiliated clinicians

Practitioners 4

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.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1467411744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 ATLANTIC AVE",
            "address_2": "SUITE 230",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061714",
            "telephone_number": "562-424-4404",
            "fax_number": "562-424-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 ATLANTIC AVE",
            "address_2": "SUITE 230",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061735",
            "telephone_number": "562-424-4404",
            "fax_number": "562-424-5180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2880 Atlantic Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061739",
            "country_code": "US",
            "telephone_number": "562-424-4404",
            "fax_number": "562-424-5180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDIN",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A41250",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A41250",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A41250",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A412502",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A412501",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A412500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.