Individual provider Active NPI

Nathaniel Neal, M.D.

  • Rheumatology Physician
  • Long Beach, CA
National Provider Identifier
1720006729
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
G52451 Issued in CA
Practice address
2840 Long Beach Blvd
Ste 365
Long Beach, CA 90806-1516
Phone
(562) 989-2374
Fax
(562) 989-2364
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X G52451 CA Primary

Addresses

Primary practice location

2840 Long Beach Blvd
Ste 365
Long Beach, CA 90806-1516

Mailing address

PO Box 21299
Long Beach, CA 90801-4299
Phone (562) 989-2374

Other identifiers 2

IdentifierTypeStateIssuer
G52451OtherCASTATE LICENSE NUMBE
00G24510MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040225000680 CA Practitioner - RheumatologyPractitioner - Internal Medicine 5890681951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Howard University College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prohealth Partners, a Medical GroupGroup PAC ID 2769388412, 236 clinicians

Practice addresses (Care Compare)

10861 Cherry St
Los Alamitos, CA 90720-5403

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 728-5034

Hospital & facility affiliations

  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485

Merit-based Incentive Payment System (MIPS)

Final score
61.94 of 100Reported as individual
Quality
16.67
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G52451CAMDRheumatology Physician

Practice roles (8 of 9)

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Current Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Jul 24, 2016 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Jul 24, 2016 Accepting new patients
Dignity Health Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Prohealth Partners a Medical Group Inc Rheumatology Past Accepting new patients

Locations

1045 Atlantic Ave
Ste 512
Long Beach, CA 90813
Phone (562) 435-0862

1045 Atlantic Ave
Ste 505
Long Beach, CA 90813
Phone (562) 437-0996

5150 E Pacific Coast Hwy
Ste 500
Long Beach, CA 90804
Phone (562) 299-5200

10861 Cherry St
Ste 104
Los Alamitos, CA 90720
Phone (562) 431-8771

3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nathaniel.neal.p1@direct.valeriusmedical.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720006729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21299",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908014299",
            "telephone_number": "562-989-2374",
            "fax_number": "562-989-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 LONG BEACH BLVD",
            "address_2": "STE 365",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061516",
            "telephone_number": "562-989-2374",
            "fax_number": "562-989-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "G52451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBE",
            "identifier": "G52451",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G24510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.