Organization Active NPI

Kamal Bijanpour Inc

  • Psychiatric Hospital
  • Long Beach, CA
National Provider Identifier
1699118752
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
A109162 Issued in CA
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

Updated by the provider on May 21, 2021

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Addiction Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A1091620MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.