Individual provider Active NPI

Loida Constantino, M.D.

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1487767604
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A39840 Issued in CA
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

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A398400OtherCABLUE SHIELD
00A398400MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000974 CA Practitioner - Family PracticePractitioner - Geriatric Medicine 7416920368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Partners, a Medical GroupGroup PAC ID 2769388412, 236 clinicians

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 Home health agency, Rancho Cucamonga, CA, CCN 058432
  • United Integrity Home Health Inc Home health agency, Garden Grove, CA, CCN 058367
  • Pure Care Hospice, Inc Hospice, Cerritos, CA, CCN B21699
  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A39840CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Current Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Loida P Constantino MD Inc Family Medicine CurrentSince Jun 21, 2004 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.