NPIMap

Organization Active NPI

One in Long Beach, Inc.

  • Community/Behavioral Health Agency
  • Long Beach, CA
National Provider Identifier
1528199643
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ONE IN LONG BEACH, INC.
Practice address
2017 E. 4TH Street
Long Beach, CA 90814-1001
Phone
(562) 434-4455
Fax
(562) 433-6428
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Porter Gilberg
Title
Executive Director
Phone
(562) 434-4455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2017 E. 4TH Street
Long Beach, CA 90814-1001

Mailing address

2017 E. 4TH Street
Long Beach, CA 90814-1001
Phone (562) 434-4455

Other identifiers 1

IdentifierTypeStateIssuer
7377COtherCADMH PROVIDER NUMBER

Other names 1

  • The LGBTQ Center of Long Beach Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250825003581 CA Part B Supplier - Clinic/Group Practice 6002316924 Receives reassigned benefits from 2 practitioners
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory
Tax ID family
One in Long Beach Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 99

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 99

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1528199643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 E. 4TH STREET",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908141001",
            "telephone_number": "562-434-4455",
            "fax_number": "562-433-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 E. 4TH STREET",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908141001",
            "telephone_number": "562-434-4455",
            "fax_number": "562-433-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE IN LONG BEACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "GILBERG",
        "authorized_official_first_name": "PORTER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "562-434-4455"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMH PROVIDER NUMBER",
            "identifier": "7377C",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The LGBTQ Center of Long Beach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The LGBTQ Center of Long Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.