Active NPI
Kamal Bijanpour Inc
- Psychiatric Hospital
- Long Beach, CA
National Provider Identifier
1699118752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- A109162
- Legal business name
- KAMAL BIJANPOUR INC
- Practice address
- 3605 Long Beach Blvd Ste 304
Long Beach, CA 90807-6018 - Phone
- (310) 559-5916
- Fax
- (310) 559-5466
- NPI assigned
- Apr 9, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kamal Bijanpour
- Title
- Director of Operations
- Phone
- (310) 801-5473
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | |||
| Addiction Psychiatry Physician | 2084P0802X | |||
| Critical Access Hospital | 282NC0060X | A109162 | CA | |
| Psychiatric Hospital | 283Q00000X | A109162 | CA | Primary |
| Preferred Provider Organization | 305R00000X | A109162 | CA | |
| Assisted Living Facility | 310400000X | A109162 | CA | |
| Assisted Living Facility (Mental Illness) | 3104A0625X | A109162 | CA | |
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | A109162 | CA | |
| Skilled Nursing Facility | 314000000X | A109162 | CA | |
| Inpatient Hospice | 315D00000X | A109162 | CA |
Addresses
Primary practice location
3605 Long Beach Blvd Ste 304
Long Beach, CA 90807-6018
Mailing address
3000 S Robertson Blvd
Suite 270
Los Angeles, CA 90034-3158
Phone (310) 559-5916
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A1091620 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
4801 E Olympic Blvd
Los Angeles, CA 90022
Phone (310) 559-5916
3000 S Robertson Blvd
Ste 270
Los Angeles, CA 90034
Phone (310) 559-5916
5000 Van Nuys Blvd
Ste 305
Sherman Oaks, CA 91403
Phone (818) 205-1924
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Lynwood, CA
- NPI 1548259401
-
- Medical Physician Assistant
- Northridge, CA
- NPI 1932493699
-
- Family Nurse Practitioner
- Los Angeles, CA
- NPI 1528457793
-
- Psychiatry Physician
- Los Angeles, CA
- NPI 1477548923
-
- Gerontology Nurse Practitioner
- Los Angeles, CA
- NPI 1164823266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621555200000",
"number": "1699118752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 S ROBERTSON BLVD",
"address_2": "SUITE 270",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900343158",
"telephone_number": "310-559-5916",
"fax_number": "310-559-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 LONG BEACH BLVD STE 304",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908076018",
"telephone_number": "310-559-5916",
"fax_number": "310-559-5466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAMAL BIJANPOUR INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-09",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A",
"authorized_official_last_name": "BIJANPOUR",
"authorized_official_first_name": "KAMAL",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "310-801-5473"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "CA",
"license": "A109162",
"primary": false
},
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "CA",
"license": "A109162",
"primary": true
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "CA",
"license": "A109162",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "A109162",
"primary": false
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "CA",
"license": "A109162",
"primary": false
},
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": "CA",
"license": "A109162",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "A109162",
"primary": false
},
{
"code": "315D00000X",
"taxonomy_group": "",
"desc": "Hospice, Inpatient",
"state": "CA",
"license": "A109162",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A1091620",
"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 May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.