Organization Active NPI

Womens Surgical Associates Breast Specialists Medical Group, Inc.

  • Specialist
  • Long Beach, CA
National Provider Identifier
1649392432
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G51873 Issued in CA
Legal business name
WOMENS SURGICAL ASSOCIATES BREAST SPECIALISTS MEDICAL GROUP, INC.
Practice address
701 E 28TH St
Suite 411
Long Beach, CA 90806-2759
Phone
(562) 426-0338
Fax
(562) 427-7766
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Authorized official

Name
Dr. Tomi Evans, M.D.
Title
M.D.
Phone
(562) 426-0338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G51873 CA Primary

Addresses

Primary practice location

701 E 28TH St
Suite 411
Long Beach, CA 90806-2759

Mailing address

701 E 28TH St
Suite 411
Long Beach, CA 90806-2759
Phone (562) 426-0338

Other names 1

  • Tomi Evans, M.D. Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1649392432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST",
            "address_2": "SUITE 411",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062759",
            "telephone_number": "562-426-0338",
            "fax_number": "562-427-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST",
            "address_2": "SUITE 411",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062759",
            "telephone_number": "562-426-0338",
            "fax_number": "562-427-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS SURGICAL ASSOCIATES BREAST SPECIALISTS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TOMI",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "562-426-0338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G51873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tomi Evans, M.D.",
            "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 Feb 25, 2011; 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.