Active NPI
Curtis W Spencer III, M.D.
- Specialist
- Long Beach, CA
National Provider Identifier
1699754341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G40568
- Practice address
- 2760 Atlantic Ave
Long Beach, CA 90806-2755 - Phone
- (562) 424-6666
- Fax
- (562) 424-7122
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G40568 | CA | Primary |
Addresses
Primary practice location
2760 Atlantic Ave
Long Beach, CA 90806-2755
Mailing address
2760 Atlantic Ave
Long Beach, CA 90806-2755
Phone (562) 424-6666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40568 | CA | MD | Licensed Psychiatric Technician |
| G40568 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1699754341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062755",
"telephone_number": "562-424-6666",
"fax_number": "562-424-7122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062755",
"telephone_number": "562-424-6666",
"fax_number": "562-424-7122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "CURTIS",
"middle_name": "W",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G40568",
"primary": true
}
],
"identifiers": [],
"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 Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.