Organization Active NPI

Long Beach Veterans Administration Medical Center

  • General Acute Care Hospital
  • Lakewood, CA
National Provider Identifier
1578718268
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
467492 Issued in CA
Legal business name
LONG BEACH VETERANS ADMINISTRATION MEDICAL CENTER
Practice address
6317 Seaborn St
Lakewood, CA 90713-2617
Phone
(310) 291-6973
Fax
(562) 420-6125
NPI assigned
Nov 21, 2008
Last updated
Nov 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Michelle Ann Bolling, R.N.
Title
R.N./Intermittent Staff R.N.
Phone
(562) 826-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 467492 CA Primary

Addresses

Primary practice location

6317 Seaborn St
Lakewood, CA 90713-2617

Mailing address

6317 Seaborn St
Lakewood, CA 90713-2617
Phone (310) 291-6973

National Provider Directory

National Provider Directory
Tax ID family
Veterans Hosptial179 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 11

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1578718268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6317 SEABORN ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907132617",
            "telephone_number": "310-291-6973",
            "fax_number": "562-420-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6317 SEABORN ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907132617",
            "telephone_number": "310-291-6973",
            "fax_number": "562-420-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH VETERANS ADMINISTRATION MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "BOLLING",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "R.N./INTERMITTENT STAFF R.N.",
        "authorized_official_telephone_number": "562-826-8000",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "467492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.