Individual provider Active NPI

Bryce Jordan Imbler, LCSW

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1669602652
Registry record updated Jun 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25266 Issued in CA
Practice address
3515 Atlantic Ave # 1072
Long Beach, CA 90807-4515
Phone
(562) 216-3675
NPI assigned
Jul 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 25266 CA Primary

Addresses

Primary practice location

3515 Atlantic Ave # 1072
Long Beach, CA 90807-4515

Mailing address

3727 Country Club Dr Unit 5
Long Beach, CA 90807-3143
Phone (562) 216-3675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260519001351 CA Practitioner - Clinical Social Worker 4385113497 Practice locations: Long Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3727 Country Club Dr
Unit 5
Long Beach, CA 90807-3142

3727 Country Club Dr
Unit 5
Long Beach, CA 90807-3143
Phone (562) 216-3675

3727 Country Club Dr Unit
Suite 5
Long Beach, CA 90807-3143

5201 Great America Pkwy
Suite 320
Santa Clara, CA 95054-1121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781395200000",
    "number": "1669602652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 COUNTRY CLUB DR UNIT 5",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073143",
            "telephone_number": "562-216-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 ATLANTIC AVE # 1072",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074515",
            "telephone_number": "562-216-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMBLER",
        "first_name": "BRYCE",
        "middle_name": "JORDAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2026-06-14",
        "certification_date": "2026-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.