NPIMap

Organization Active NPI

Memorial Cardiology Medical Group, Inc

  • Specialist
  • Long Beach, CA
National Provider Identifier
1720126105
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G13545 Issued in CA
Legal business name
MEMORIAL CARDIOLOGY MEDICAL GROUP, INC
Practice address
2898 Linden Ave
Long Beach, CA 90806-1627
Phone
(562) 595-8671
Fax
(562) 989-0999
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alan J Hermer, M.D
Title
President
Phone
(562) 595-8671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G13545 CA Primary

Addresses

Primary practice location

2898 Linden Ave
Long Beach, CA 90806-1627

Mailing address

2898 Linden Ave
Long Beach, CA 90806-1627
Phone (562) 595-8671

National Provider Directory

National Provider Directory
Tax ID family
Memorial Cardiology Medical Group Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720126105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2898 LINDEN AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061627",
            "telephone_number": "562-595-8671",
            "fax_number": "562-989-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2898 LINDEN AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061627",
            "telephone_number": "562-595-8671",
            "fax_number": "562-989-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL CARDIOLOGY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERMER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-595-8671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G13545",
            "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 Aug 22, 2020; 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.