Active NPI
Loida Constantino, M.D.
- Family Medicine Physician
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A39840
- Practice address
- 1777 Bellflower Blvd
Suite 104
Long Beach, CA 90815 - Phone
- (562) 961-8820
- Fax
- (562) 961-8828
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A39840 | CA | Primary |
Addresses
Primary practice location
1777 Bellflower Blvd
Suite 104
Long Beach, CA 90815
Mailing address
1777 Bellflower Blvd
Suite 104
Long Beach, CA 90815
Phone (562) 961-8820
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A398400 | Other | CA | BLUE SHIELD |
| 00A398400 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1777 N Bellflower Blvd
Suite 101
Long Beach, CA 90815-4019
Phone (562) 986-6138
Hospital & facility affiliations
- Legacy Home Health, Inc
- United Integrity Home Health Inc
- Pure Care Hospice, Inc
- Memorialcare Long Beach Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A39840 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Partners, a Medical Group | Current | Accepting new patients | |
| Prohealth Partners, a Medical Group, Inc. | Current | Accepting new patients | |
| Prohealth Partners, a Medical Group, Inc. | Current | Accepting new patients | |
| Loida P Constantino MD Inc | Family Medicine | Current | Accepting new patients |
| Prohealth Partners a Medical Group Inc | Family Medicine | Past | Accepting new patients |
Locations
1777 N Bellflower Blvd
Ste 101
Long Beach, CA 90815
Phone (562) 437-0996
1777 N Bellflower Blvd
Ste 104
Long Beach, CA 90815
Phone (562) 498-6647
1045 Atlantic Ave
Ste 812
Long Beach, CA 90813
Phone (562) 435-5353
File 54567
Los Angeles, CA 90074
Phone (310) 491-9060
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Long Beach, CA
- NPI 1306983960
-
- Internal Medicine Physician
- Lakewood, CA
- NPI 1003949975
-
- Internal Medicine Physician
- Long Beach, CA
- NPI 1356474852
-
- Internal Medicine Physician
- Pico Rivera, CA
- NPI 1912899394
-
- Internal Medicine Physician
- Lakewood, CA
- NPI 1093848509
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rancho Cucamonga, CA
- NPI 1225563976
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
-
- Community Based Hospice Care Agency
- Cerritos, CA
- NPI 1871039487
-
- Home Health Agency
- Garden Grove, CA
- NPI 1912029943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1487767604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 BELLFLOWER BLVD",
"address_2": "SUITE 104",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90815",
"telephone_number": "562-961-8820",
"fax_number": "562-961-8828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 BELLFLOWER BLVD",
"address_2": "SUITE 104",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90815",
"telephone_number": "562-961-8820",
"fax_number": "562-961-8828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONSTANTINO",
"first_name": "LOIDA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A39840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A398400",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A398400",
"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 Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.