Individual provider Active NPI

Carlajean Lindenberg, NP

  • Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1679932990
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
23613 Issued in CA
Practice address
2801 Atlantic Avenue
3Rd Floor Mhvi
Long Beach, CA 90806
Phone
(562) 933-3381
Fax
(562) 933-3372
NPI assigned
Feb 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 23613 CA Primary

Addresses

Primary practice location

2801 Atlantic Avenue
3Rd Floor Mhvi
Long Beach, CA 90806

Mailing address

2801 Atlantic Avenue
3Rd Floor Mhvi
Long Beach, CA 90806
Phone (562) 933-3381

Other names 1

  • CJ Lidenberg Other name

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171218001674 CA Order and Referring Only - Nurse Practitioner 2860750007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
23613CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1679932990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVENUE",
            "address_2": "3RD FLOOR MHVI",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90806",
            "telephone_number": "562-933-3381",
            "fax_number": "562-933-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVENUE",
            "address_2": "3RD FLOOR MHVI",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90806",
            "telephone_number": "562-933-3381",
            "fax_number": "562-933-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDENBERG",
        "first_name": "CARLAJEAN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "23613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CJ",
            "last_name": "LIDENBERG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.