Individual provider Active NPI

Luwam Gebremichael

  • General Practice Registered Nurse
  • Long Beach, CA
National Provider Identifier
1477284073
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
809463 Issued in CA
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

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
809463CAMDGeneral 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.

Verify at the official NPI Registry.