Active NPI
Luwam Gebremichael
- General Practice Registered Nurse
- Long Beach, CA
National Provider Identifier
1477284073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 809463
- Practice address
- 2525 Grand Ave
Long Beach, CA 90815-1765 - Phone
- (562) 570-7986
- NPI assigned
- Jun 23, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 809463 | CA | Primary |
Addresses
Primary practice location
2525 Grand Ave
Long Beach, CA 90815-1765
Mailing address
2525 Grand Ave
Long Beach, CA 90815-1765
Phone (562) 570-7986
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | luwam.gebremichael@longbeach.gov | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 809463 | CA | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1477284073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 GRAND AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908151765",
"telephone_number": "562-570-7986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 GRAND AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908151765",
"telephone_number": "562-570-7986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBREMICHAEL",
"first_name": "LUWAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-23",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "CA",
"license": "809463",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "luwam.gebremichael@longbeach.gov",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "2525 Grand Ave",
"city": "Long Beach",
"state": "CA",
"country_code": "US",
"postal_code": "908151765",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.