Michael Surban

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

License

953389108 Issued in CA

Practice address

2272 Pacific Ave # a
Long Beach, CA 90806-4312

Phone

(562) 427-8018

NPI assigned

Jul 24, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eldorado Community Service Center

  • Primary Care Clinic/Center
  • Long Beach, CA
  • NPI 1568722890
  NPD (past)
• West County Medical Corporation

  • Community Health Clinic/Center
  • Long Beach, CA
  • NPI 1750537437
  NPD (past)

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

{
    "created_epoch": "1469318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469318400000",
    "number": "1619420858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2272 PACIFIC AVE # A",
            "address_2": "#4",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908064312",
            "telephone_number": "562-726-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2272 PACIFIC AVE # A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908064312",
            "telephone_number": "562-427-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURBAN",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-24",
        "last_updated": "2016-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "953389108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladys Almoite Suos, PHYSICAL THERAPY
• Superior Medical Wellness Co.
• Supernova Speech Therapy, a Professional Speech Language Pathology Cor
• Supplemental Health Care
• Nissi Sharon Suppogu, M.D
• Sure Ride Senior Transportation
• Surgical Institute of California LLC
• Surgical Suite of Southern California, a Medical Corporation
• Susan Walshe, MFT, Inc
• Hayley Jones Sussman, PH.D.

• Health Psychologist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Health Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2016; 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.