City of Long Beach

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF LONG BEACH

Practice address

411 W Ocean Blvd Lbby
Long Beach, CA 90802-4511

Phone

(562) 570-7600

Fax

(562) 570-6783

NPI assigned

Dec 9, 2005

Last updated

Sep 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diana Ambriz

Title

Financial Services Officer

Phone

(562) 570-7109

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• City of Long Beach Fire Dept Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• City of Long Beach

  • Public Health or Welfare Agency
  • Long Beach, CA
  • NPI 1023116811

  9133157050

  Same PAC ID

Tax ID family

City of Long Beach5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• City of Long Beach

  • Community Health Clinic/Center
  • Long Beach, CA
  • NPI 1255545133
  NPD tax ID
• City of Long Beach

  • Case Management Agency
  • Long Beach, CA
  • NPI 1285848374
  NPD tax ID
• City of Long Beach

  • Public Health or Welfare Agency
  • Long Beach, CA
  • NPI 1427438183
  NPD tax ID
• City of Long Beach

  • Case Manager/Care Coordinator
  • Long Beach, CA
  • NPI 1700607371
  NPD tax ID

Locations

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1558346775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W OCEAN BLVD LBBY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024511",
            "telephone_number": "562-570-7600",
            "fax_number": "562-570-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W OCEAN BLVD LBBY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024511",
            "telephone_number": "562-570-7600",
            "fax_number": "562-570-6783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Harbor Plz",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908026411",
            "country_code": "US",
            "telephone_number": "562-570-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITY OF LONG BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "AMBRIZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "FINANCIAL SERVICES OFFICER",
        "authorized_official_telephone_number": "562-570-7109"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "590086028",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ75152Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Long Beach Fire Dept",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "City of Long Beach Fire Dept",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• City of Long Beach
• City of Long Beach
• City of Long Beach
• City of Long Beach
• City of Long Beach (Department of Health and Human Services)
• City of Long Beach
• City of Long Beach Dept. of Health & Human Services
• City of Long Beach Health & Human Services
• City of Long Beach Health and Human Services
• City of Long Beach Health Dept

• Land Ambulance in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.