Organization Active NPI

Sanchez Long Beach Clinic Inc

  • Adult Medicine Physician
  • Long Beach, CA
National Provider Identifier
1710297262
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
20A7037 Issued in CA
Legal business name
SANCHEZ LONG BEACH CLINIC INC
Practice address
2777 Pacific Ave
Suite 203
Long Beach, CA 90806-2625
Phone
(310) 639-2600
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Dr. Samuel Efrain Sanchez, D.O.
Title
Medical Director
Phone
(310) 639-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 20A7037 CA Primary

Addresses

Primary practice location

2777 Pacific Ave
Suite 203
Long Beach, CA 90806-2625

Mailing address

2512 Deerford St
Lakewood, CA 90712-3356
Phone (310) 639-2600

National Provider Directory

National Provider Directory

Locations

2777 Pacific Ave
Ste 203
Long Beach, CA 90806
Phone (310) 639-2600

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1710297262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 DEERFORD ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907123356",
            "telephone_number": "310-639-2600",
            "fax_number": "310-630-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 PACIFIC AVE",
            "address_2": "SUITE 203",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062625",
            "telephone_number": "310-639-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCHEZ LONG BEACH CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "EFRAIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-639-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "20A7037",
            "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 18, 2010; 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.