Baybreeze

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

191600093 Issued in CA

Legal business name

BAYBREEZE

Practice address

1653 Santa Fe Ave
Long Beach, CA 90813-1240

Phone

(562) 432-8033

NPI assigned

May 7, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Tess Bolong, AD

Title

Adult Caretaker

Phone

(562) 432-8033

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1578739637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 SANTA FE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908131240",
            "telephone_number": "562-432-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 SANTA FE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908131240",
            "telephone_number": "562-432-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYBREEZE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "BOLONG",
        "authorized_official_first_name": "TESS",
        "authorized_official_title_or_position": "ADULT CARETAKER",
        "authorized_official_telephone_number": "562-432-8033",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AD"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "191600093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Bautista
• Mark Daniel Baxter I, LMFT
• Bay Shore Wellness LLC
• Bay Vista Healthcare & Wellness Centre LP
• Elizabeth Morales Bayaras, NP-C
• Sara Bayer
• Bayfront Healthcare Services
• Bayfront Healthcare Services LLC
• Bayfront Youth & Family Services
• Bayfront Youth and Family Services

• Psychiatric Residential Treatment Facility in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Psychiatric Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.