NPIMap

Organization Active NPI

Long Beach - Lakewood Orthopedic Institute

  • Multi-Specialty Clinic/Center
  • Long Beach, CA
National Provider Identifier
1629558713
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LONG BEACH - LAKEWOOD ORTHOPEDIC INSTITUTE
Practice address
3828 Schaufele Ave Ste 320
Long Beach, CA 90808-1793
Phone
(562) 348-4588
Fax
(562) 420-2545
NPI assigned
Aug 17, 2018
Last updated
May 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Dr. Ezzat Wadih WassefNPI 1427063197
Title
General Partner
Phone
(562) 633-3787

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU
Orthopaedic Hand Surgery Physician 207XS0106X NU
Orthopaedic Surgery of the Spine Physician 207XS0117X NU
Physical Therapist 225100000X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Surgical Physician Assistant 363AS0400X NU

Addresses

Primary practice location

3828 Schaufele Ave Ste 320
Long Beach, CA 90808-1793

Mailing address

PO Box 15848
Newport Beach, CA 92659-5848
Phone (657) 241-3600

Other identifiers 1

IdentifierTypeStateIssuer
CB232024OtherCAMEDICARE

Other names 1

  • Lakewood Orthopaedic Surgical & Medical Group Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040331001691 CA Part B Supplier - Clinic/Group Practice 0840282786 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lakewood, CA; Long Beach, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1629558713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15848",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926595848",
            "telephone_number": "657-241-3600",
            "fax_number": "657-241-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 SCHAUFELE AVE STE 320",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081793",
            "telephone_number": "562-348-4588",
            "fax_number": "562-420-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH - LAKEWOOD ORTHOPEDIC INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "WASSEF",
        "authorized_official_first_name": "EZZAT",
        "authorized_official_middle_name": "WADIH",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "562-633-3787",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CB232024",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Orthopaedic Surgical & Medical Group",
            "code": "4",
            "type": "Former Legal Business 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 May 23, 2024; 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.