Organization Active NPI

Arleen Guerrero Nieva, M.D., Inc.

  • Internal Medicine Physician
  • Long Beach, CA
National Provider Identifier
1568767986
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A68932 Issued in CA
Legal business name
ARLEEN GUERRERO NIEVA, M.D., INC.
Practice address
330 W Willow St
Long Beach, CA 90806-2802
Phone
(562) 595-9835
Fax
(562) 424-8715
NPI assigned
Jan 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Authorized official

Name
Mr. Shalom G Nieva
Title
Office Manager
Phone
(562) 595-9835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A68932 CA Primary

Addresses

Primary practice location

330 W Willow St
Long Beach, CA 90806-2802

Mailing address

330 W Willow St
Long Beach, CA 90806-2802
Phone (562) 595-9835

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121009000255 CA Part B Supplier - Clinic/Group Practice 9335398262 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

330 W Willow St
Long Beach, CA 90806
Phone (562) 595-9835

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1568767986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W WILLOW ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062802",
            "telephone_number": "562-595-9835",
            "fax_number": "562-424-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W WILLOW ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062802",
            "telephone_number": "562-595-9835",
            "fax_number": "562-424-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLEEN GUERRERO NIEVA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "NIEVA",
        "authorized_official_first_name": "SHALOM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "562-595-9835",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A68932",
            "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 Jan 14, 2011; 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.