Pathways to Life

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

PATHWAYS TO LIFE

Practice address

1125 Cherry Ave
Suite a
Long Beach, CA 90813-3911

Phone

(562) 256-1388

Fax

(562) 256-1635

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Prudencia Kintaudi, M.D.

Title

Ceo

Phone

(562) 256-1388

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1679773683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CHERRY AVE",
            "address_2": "SUITE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133911",
            "telephone_number": "562-256-1388",
            "fax_number": "562-256-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CHERRY AVE",
            "address_2": "SUITE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133911",
            "telephone_number": "562-256-1388",
            "fax_number": "562-256-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS TO LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "KINTAUDI",
        "authorized_official_first_name": "PRUDENCIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-256-1388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiv Hitendra Patel, RPH
• Tejal A Patel
• Trishna Patel
• Vishal Patel, M.D.
• Nimesh J Pathak, M.D.
• Rionne Eser Patiag
• Araceli Patino, ASW
• Oralia Beatrice Patlan, PSY.D.
• Shari Patriarca-Villaflor, MSN, APRN, FNP-C, RN
• Emmanuelle Patrice

• Community Health Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.