Active NPI
Serge Maurice Tobias, MD
- Clinical Cardiac Electrophysiology Physician
- Long Beach, CA
National Provider Identifier
1679500193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- G39355
- Practice address
- 2898 Linden Ave
Long Beach, CA 90806 - Phone
- (562) 595-8671
- Fax
- (562) 490-2015
- NPI assigned
- Jun 28, 2006
- 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 |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | G39355 | CA | Primary |
Addresses
Primary practice location
2898 Linden Ave
Long Beach, CA 90806
Mailing address
2898 Linden Ave
Long Beach, CA 90806
Phone (562) 595-8671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ73964Z | Other | CA | MEDI-CAL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G39355 | CA | MD | Clinical Cardiac Electrophysiology Physician |
| 39355 | CA | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1679500193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2898 LINDEN AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90806",
"telephone_number": "562-595-8671",
"fax_number": "562-490-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2898 LINDEN AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90806",
"telephone_number": "562-595-8671",
"fax_number": "562-490-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIAS",
"first_name": "SERGE",
"middle_name": "MAURICE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "CA",
"license": "G39355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "ZZZ73964Z",
"state": "CA"
}
],
"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 Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.