Organization Active NPI

Long Beach Memorial Medical

Doing business as Community Hospital Long Beach

  • General Acute Care Hospital
  • Long Beach, CA
National Provider Identifier
1720371065
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
LONG BEACH MEMORIAL MEDICAL
Doing business as
Community Hospital Long Beach
Practice address
1720 Termino Ave
Long Beach, CA 90804
Phone
(562) 498-1000
Fax
(562) 933-8016
NPI assigned
May 19, 2011
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
LONG BEACH MEMORIAL MEDICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Chris Finch
Title
Chief Compliance Officer
Phone
(714) 377-3218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1720 Termino Ave
Long Beach, CA 90804

Mailing address

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-5437

Other identifiers 2

IdentifierTypeStateIssuer
HSP40004FMedicaidCA
HSP30004FMedicaidCA

Other names 1

  • Community Hospital Long Beach Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://52.70.132.174:8191/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other Medforce Technologies, Inc
CONNECT URL https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110708000241 CA Part B Supplier - Clinic/Group Practice 3173550704 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Long Beach, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Long Beach Memorial Medical

Locations

4712 E 2nd St
Long Beach, CA 90803
Phone (818) 937-0882

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1720371065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061701",
            "telephone_number": "562-933-5437",
            "fax_number": "562-933-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 TERMINO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90804",
            "telephone_number": "562-498-1000",
            "fax_number": "562-933-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH MEMORIAL MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONG BEACH MEMORIAL MEDICAL",
        "enumeration_date": "2011-05-19",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "FINCH",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "714-377-3218"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40004F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP30004F",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://52.70.132.174:8191/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2003.1",
            "affiliationName": "Medforce Technologies, Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2348 SW Topeka Blvd",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666111283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.1",
            "affiliationName": "Bluemark",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "40 Sunset Ridge Rd Ste 120",
            "city": "New Paltz",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125611039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Community Hospital Long Beach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Hospital Long Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.