Active NPI
Christine Suzanne Kiamzon, NP
- Acute Care Nurse Practitioner
- Long Beach, CA
National Provider Identifier
1538860101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95022855
- Practice address
- 2801 Atlantic Ave
Long Beach, CA 90806-1701 - Phone
- (562) 933-2000
- NPI assigned
- Mar 13, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95022855 | CA | Primary |
Addresses
Primary practice location
2801 Atlantic Ave
Long Beach, CA 90806-1701
Mailing address
3747 Worsham Ave Ste 100
Long Beach, CA 90808-1734
Phone (562) 430-4513
Other practice location 1
3700 South St
Lakewood, CA 90712-1498
Phone (562) 531-2550
Other practice location 2
3751 Katella Ave
Los Alamitos, CA 90720-3113
Phone (562) 598-1311
Other practice location 3
3747 Worsham Ave Ste 100
Long Beach, CA 90808-1734
Phone (562) 430-4513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95022855 | CA | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1538860101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3747 WORSHAM AVE STE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908081734",
"telephone_number": "562-430-4513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061701",
"telephone_number": "562-933-2000"
}
],
"practiceLocations": [
{
"address_1": "3700 South St",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CA",
"postal_code": "907121498",
"country_code": "US",
"telephone_number": "562-531-2550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3751 Katella Ave",
"address_purpose": "LOCATION",
"city": "Los Alamitos",
"state": "CA",
"postal_code": "907203113",
"country_code": "US",
"telephone_number": "562-598-1311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3747 Worsham Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908081734",
"country_code": "US",
"telephone_number": "562-430-4513",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIAMZON",
"first_name": "CHRISTINE",
"middle_name": "SUZANNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-13",
"last_updated": "2023-03-13",
"certification_date": "2023-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95022855",
"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 Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.