Active NPI
Alex H. Etemad, M.D.
- Orthopaedic Surgery Physician
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- C50563
- Practice address
- 5584 N Paramount Blvd
Suite 100
Long Beach, CA 90805-5133 - Phone
- (562) 920-8394
- Fax
- (562) 867-6083
- NPI assigned
- Feb 15, 2006
- Last updated
- Jul 21, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | C50563 | CA | Primary |
Addresses
Primary practice location
5584 N Paramount Blvd
Suite 100
Long Beach, CA 90805-5133
Mailing address
16702 Valley View Ave
La Mirada, CA 90638-5824
Phone (714) 367-5360
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C50563 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpointe Medical Group, Inc. | Current | Accepting new patients | |
| Healthpointe Medical Group, Inc. | Current | Accepting new patients | |
| Healthpointe Medical Group, Inc. | Current | Accepting new patients | |
| Bristol Park Medical Group, Inc | Past | Accepting new patients | |
| Healthpointe Medical Group, Inc. | Past | Accepting new patients | |
| Coast Plaza Doctors Hospital | Past | Accepting new patients |
Locations
1717 E Lincoln Ave
Anaheim, CA 92805
Phone (714) 635-2642
16702 Valley View Ave
La Mirada, CA 90638
Phone (562) 921-0341
5584 N Paramount Blvd
Ste 100
Long Beach, CA 90805
Phone (562) 920-8394
754 N Mountain Ave
Ontario, CA 91762
Phone (909) 460-4155
27455 Tierra Alta Way
Ste A
Temecula, CA 92590
Phone (951) 699-5282
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
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- NPI 1740221472
-
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- Anaheim, CA
- NPI 1689602088
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1043266760
-
dba Coast Plaza Hospital
- General Acute Care Hospital
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- NPI 1669429221
-
- Specialist
- Long Beach, CA
- NPI 1851678437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1528032562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16702 VALLEY VIEW AVE",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906385824",
"telephone_number": "714-367-5360",
"fax_number": "714-635-5428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5584 N PARAMOUNT BLVD",
"address_2": "SUITE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908055133",
"telephone_number": "562-920-8394",
"fax_number": "562-867-6083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETEMAD",
"first_name": "ALEX",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "C50563",
"primary": true
}
],
"identifiers": [],
"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 Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.