Organization Active NPI

Medcessity Inc.

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1598728479
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23647 Issued in CA
Legal business name
MEDCESSITY INC.
Practice address
4010 Orange Ave
Long Beach, CA 90807-2374
Phone
(562) 428-3556
Fax
(562) 428-3621
NPI assigned
Apr 10, 2006
Last updated
Nov 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Mr. Hank Jonathan Chinn Jr., MPTNPI 1225091101
Title
VP/Owner
Phone
(562) 428-3556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X 00978 CA
Physical Therapist 225100000X 23647 CA Primary
Geriatric Physical Therapist 2251G0304X 23647 CA
Hand Physical Therapist 2251H1200X 23647 CA
Neurology Physical Therapist 2251N0400X 23647 CA
Sports Physical Therapist 2251S0007X 23647 CA
Orthopedic Physical Therapist 2251X0800X 23647 CA
Occupational Therapist 225X00000X 00978 CA
Ergonomics Occupational Therapist 225XE1200X 00978 CA
Hand Occupational Therapist 225XH1200X 978 CA
Human Factors Occupational Therapist 225XH1300X 00978 CA
Neurorehabilitation Occupational Therapist 225XN1300X 00978 CA
Pediatric Occupational Therapist 225XP0200X 00978 CA

Addresses

Primary practice location

4010 Orange Ave
Long Beach, CA 90807-2374

Mailing address

4010 Orange Ave
Long Beach, CA 90807-3717
Phone (562) 428-3556

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ08588ZOtherCABLUE SHIELD OF CALIFORNIA
ZZZ08589ZOtherCABLUE SHIELD OF CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040518000367 CA Part B Supplier - Clinic/Group Practice 6204826415 Receives reassigned benefits from 13 practitioners
Practice locations: Long Beach, CA
O20100930080090 CA DME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 6204826415 Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

1165 E San Antonio Dr
Ste A
Long Beach, CA 90807
Phone (562) 212-1506

4010 Orange Ave
Long Beach, CA 90807
Phone (562) 292-6116

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1598728479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 ORANGE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073717",
            "telephone_number": "562-428-3556",
            "fax_number": "562-428-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 ORANGE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072374",
            "telephone_number": "562-428-3556",
            "fax_number": "562-428-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCESSITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "CHINN",
        "authorized_official_first_name": "HANK",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "VP/OWNER",
        "authorized_official_telephone_number": "562-428-3556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "CA",
            "license": "00978",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "23647",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "23647",
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "CA",
            "license": "23647",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "23647",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "23647",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "23647",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "00978",
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "CA",
            "license": "00978",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "978",
            "primary": false
        },
        {
            "code": "225XH1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Human Factors",
            "state": "CA",
            "license": "00978",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "CA",
            "license": "00978",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "00978",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ08588Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ08589Z",
            "state": "CA"
        }
    ],
    "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 Nov 17, 2010; 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.