Beach Side Birth Center Long Beach

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

License

550002843 Issued in CA

Legal business name

BEACH SIDE BIRTH CENTER LONG BEACH

Practice address

1224 E Wardlow Rd
Long Beach, CA 90807-4833

Phone

(562) 912-4421

Fax

(562) 661-6084

NPI assigned

Jan 20, 2015

Last updated

Feb 3, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

BEACH CITIES MIDWIFERY & WOMEN'S HEALTHCAREAs reported in NPPES

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

Authorized official

Name

Jeffrey John Snell

Title

Office and Billing Management

Phone

(949) 257-6652

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Beach Cities Midwifery Women's Health3 organizations share this tax ID, including this one

Part of

Beach Cities Midwifery Women's Health

Other organizations with this tax ID 2

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

• Beach Cities Midwifery & Women's Health

  • Midwife
  • San Clemente, CA
  • NPI 1447397203
  NPD tax ID
• Beach Side Birth Center Corona

  dba Beach Side Birth Center

  • Birthing Clinic/Center
  • Corona, CA
  • NPI 1003205881
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Dubbs

  • Advanced Practice Midwife
  • Laguna Hills, CA
  • NPI 1407271257
  NPD (past)

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1588053144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24902 MOULTON PKWY",
            "address_2": "SUITE 120",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926376403",
            "telephone_number": "949-215-7575",
            "fax_number": "949-215-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074833",
            "telephone_number": "562-912-4421",
            "fax_number": "562-661-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH SIDE BIRTH CENTER LONG BEACH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEACH CITIES MIDWIFERY & WOMEN'S HEALTHCARE",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "SNELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OFFICE AND BILLING MANAGEMENT",
        "authorized_official_telephone_number": "949-257-6652"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "CA",
            "license": "550002843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1588053144",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beach Cities Medical Group
• Beach City Wellness, Inc.
• Beach Medical Group Inc (Bech Medical Assoc. Inc)
• Beach Orthopedic and Neurosurgical Associates a Professional Corp
• Beach Physical Medicine PC
• Beach Specialty Medical Group
• Krystal Dawn Beachler
• Scott Beachley, LMT
• Valerie Eden Beachley, MASSAGE THERAPY
• Beachside Family Counseling

• Birthing Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Birthing Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.