NPIMap

Beyond Wellness PLLC

Organization Active NPI Multi-Specialty Clinic/Center · Long Beach, CA

NPI 1497514798 · NPPES record last updated Aug 6, 2024

Key facts

NPI
1497514798
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
BEYOND WELLNESS PLLC
Practice address
111 W Ocean Blvd
Long Beach, CA 90802-4633
Phone
(702) 728-0528
NPI assigned
Mar 18, 2024
Organization subpart
No

Authorized official

Name
Lisa Anderson
Title
President
Phone
(855) 380-6136

Corporate family (same tax ID) 10

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Beyond Wellness PLLC (11 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Multi-Specialty Clinic/Center 261QM1300X Yes

Addresses

Primary practice location

111 W Ocean Blvd
Long Beach, CA 90802-4633

Mailing address

PO Box 30085
Las Vegas, NV 89173-0085

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 6, 2024.

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1497514798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30085",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891730085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W OCEAN BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024633",
            "telephone_number": "702-728-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-380-6136"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

All providers in Long Beach, CA · Multi-Specialty Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.