Organization Active NPI

Glbesc, LLC

  • Ambulatory Surgical Clinic/Center
  • Long Beach, CA
National Provider Identifier
1609253392
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GLBESC, LLC
Practice address
3833 Worsham Ave Ste 200
Long Beach, CA 90808
Phone
(562) 426-2606
NPI assigned
May 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Authorized official

Name
Mr. James Hogan
Title
Chief Administrative Officer
Phone
(562) 426-2606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

3833 Worsham Ave Ste 200
Long Beach, CA 90808

Mailing address

3833 Worsham Ave Ste 200
Long Beach, CA 90808-1766
Phone (562) 426-2606

Other practice location 1

3833 Worsham Ave
Suite 200
Long Beach, CA 90808-1745
Phone (562) 426-2606

Other names 1

  • MemorialCare Outpatient Surgical Center Long Beach Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170424001941 CA Part B Supplier - Ambulatory Surgical Center 1850677097 Practice locations: Long Beach, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Glbesc LLC Dba Memorialcare Outpatient Surgical Center Long BeachCCN 05C0002207
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2133709Memorialcare Outpatient Surgical Center,3833 Worsham Ave Ste 200, Long Beach, CA 90808Certificate of waiverJul 17, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1609253392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 WORSHAM AVE STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081766",
            "telephone_number": "562-426-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 WORSHAM AVE STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90808",
            "telephone_number": "562-426-2606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3833 Worsham Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908081745",
            "country_code": "US",
            "telephone_number": "562-426-2606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GLBESC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "562-426-2606",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MemorialCare Outpatient Surgical Center Long Beach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MemorialCare Outpatient Surgical Center Long Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.