Organization Active NPI

Long Beach Memorial Medical

Doing business as Community Hospital Long Beach

  • Psychiatric Hospital Unit
  • Long Beach, CA
National Provider Identifier
1699068940
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
LONG BEACH MEMORIAL MEDICAL
Doing business as
Community Hospital Long Beach
Practice address
1720 Termino Ave
Long Beach, CA 90804-2104
Phone
(562) 498-1000
Fax
(562) 933-8016
NPI assigned
May 19, 2011
Last updated
Mar 18, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
LONG BEACH MEMORIAL MEDICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Mr. Yair Katz
Title
Chief Financial Officer
Phone
(562) 933-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X CA Primary

Addresses

Primary practice location

1720 Termino Ave
Long Beach, CA 90804-2104

Mailing address

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-5437

Other identifiers 1

IdentifierTypeStateIssuer
HSM30004FMedicaidCA

Other names 1

  • Community Hospital Long Beach Doing business as

National Provider Directory

National Provider Directory
Part of
Long Beach Memorial Medical

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1699068940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061701",
            "telephone_number": "562-933-5437",
            "fax_number": "562-933-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 TERMINO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042104",
            "telephone_number": "562-498-1000",
            "fax_number": "562-933-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH MEMORIAL MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONG BEACH MEMORIAL MEDICAL",
        "enumeration_date": "2011-05-19",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "YAIR",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "562-933-5437",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSM30004F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Hospital Long Beach",
            "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 Mar 18, 2016; 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.