Organization Active NPI

Dr. Sulabha Dave M.D. Inc.

  • Clinic/Center
  • Long Beach, CA
National Provider Identifier
1619162302
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A30598 Issued in CA
Legal business name
DR. SULABHA DAVE M.D. INC.
Practice address
2440 E South St
Long Beach, CA 90805-4426
Phone
(562) 633-0836
Fax
(562) 633-8345
NPI assigned
Sep 6, 2007
Last updated
Jul 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Dr. Sulabha A Dave, M.D.NPI 1821191446
Title
Medical Doctor
Phone
(562) 633-0836

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A30598 CA Primary

Addresses

Primary practice location

2440 E South St
Long Beach, CA 90805-4426

Mailing address

2440 E South St
Long Beach, CA 90805-4426
Phone (562) 633-0836

Other names 1

  • Radiation Oncology Associates Other name

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1619162302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 E SOUTH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054426",
            "telephone_number": "562-633-0836",
            "fax_number": "562-633-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 E SOUTH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054426",
            "telephone_number": "562-633-0836",
            "fax_number": "562-633-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SULABHA DAVE M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "SULABHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "562-633-0836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A30598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiation Oncology Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 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.