Active NPI
Imelda Catallo-Brigham, RPH
- Pharmacist
- Long Beach, CA
National Provider Identifier
1568025948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 58277
- Practice address
- 4400 E Los Coyotes Diagonal
Long Beach, CA 90815-2819 - Phone
- (562) 494-4282
- Fax
- (562) 494-8762
- NPI assigned
- Apr 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 58277 | CA | Primary |
Addresses
Primary practice location
4400 E Los Coyotes Diagonal
Long Beach, CA 90815-2819
Mailing address
4400 E Los Coyotes Diagonal
Long Beach, CA 90815-2819
Phone (562) 494-4282
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58277 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Long Beach, CA
- NPI 1508802661
-
- Pharmacy
- Jurupa Valley, CA
- NPI 1780573113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555804800000",
"number": "1568025948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 E LOS COYOTES DIAGONAL",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908152819",
"telephone_number": "562-494-4282",
"fax_number": "562-494-8762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 E LOS COYOTES DIAGONAL",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908152819",
"telephone_number": "562-494-4282",
"fax_number": "562-494-8762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATALLO-BRIGHAM",
"first_name": "IMELDA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-21",
"last_updated": "2019-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "58277",
"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 Apr 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.