Organization Active NPI

Integrated Health Services

  • Home Infusion Agency
  • Long Beach, CA
National Provider Identifier
1689686107
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
License
PHY46298 Issued in CA
Legal business name
INTEGRATED HEALTH SERVICES
Practice address
5584 N Paramount Blvd
101
Long Beach, CA 90805-5133
Phone
(562) 408-1173
Fax
(562) 408-3075
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stephen M Strocker
Title
Ceo
Phone
(562) 408-1173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X PHY46298 CA Primary

Addresses

Primary practice location

5584 N Paramount Blvd
101
Long Beach, CA 90805-5133

Mailing address

5584 N Paramount Blvd
101
Long Beach, CA 90805-5133
Phone (562) 408-1173

Other identifiers 3

IdentifierTypeStateIssuer
PHA462980MedicaidCA
ZZZ45652ZOtherCABLUE SHIELD OF CA. PROV #
003739OtherCABLUE CROSS CA PROV #

Other names 1

  • FOREMOST CLINICAL PHARMACY SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

5584 N Paramount Blvd
#101
Long Beach, CA 90805
Phone (562) 408-1173

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689686107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5584 N PARAMOUNT BLVD",
            "address_2": "101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908055133",
            "telephone_number": "562-408-1173",
            "fax_number": "562-408-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5584 N PARAMOUNT BLVD",
            "address_2": "101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908055133",
            "telephone_number": "562-408-1173",
            "fax_number": "562-408-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STROCKER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-408-1173",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "CA",
            "license": "PHY46298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA462980",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA. PROV #",
            "identifier": "ZZZ45652Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CA PROV #",
            "identifier": "003739",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOREMOST CLINICAL PHARMACY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.