Active NPI
Martins O. Nwaege
- Rehabilitation Practitioner
- Long Beach, CA
National Provider Identifier
1669650438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- N/A
- Practice address
- 100 W Broadway
Long Beach, CA 90802-4431 - Phone
- (562) 285-1330
- NPI assigned
- Feb 4, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | N/A | CA | Primary |
Addresses
Primary practice location
100 W Broadway
Long Beach, CA 90802-4431
Mailing address
15435 Hawthorne Blvd
Lawndale, CA 90260-2151
Phone (310) 436-5760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N/A | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202083200000",
"number": "1669650438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15435 HAWTHORNE BLVD",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902602151",
"telephone_number": "310-436-5760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W BROADWAY",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024431",
"telephone_number": "562-285-1330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWAEGE",
"first_name": "MARTINS",
"middle_name": "O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-04",
"last_updated": "2008-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": "N/A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 4, 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.