Active NPI
Long Beach Memorial Medical
Doing business as Community Hospital Long Beach
- General Acute Care Hospital
- Long Beach, CA
National Provider Identifier
1720371065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- 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, 2025
- Organization subpart
- Yes
- Parent organization
- LONG BEACH MEMORIAL MEDICAL
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSP40004F | Medicaid | CA | |
| HSP30004F | Medicaid | CA |
Other names 1
- Community Hospital Long Beach
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba Krishna N. Manvi, M.D. & Parvataneni Arun, M.D.
- Cardiovascular Disease Physician
- Long Beach, CA
- NPI 1316061336
O20110708000241
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
O20110708000241
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
- Long Beach Memorial Medical
- Long Beach Memorial Medical
- Long Beach Memorial Medical (Miller Children's Hospital)
- Long Beach Memorial Medical (Children's Village Pharmacy)
- Long Beach Memorial Medical (Community Hospital Long Beach)
- Long Beach Memorial Medical (Outpatient Pharmacy)
- Long Beach Memorial Medical
- Long Beach Memorial Medical (Homecare Pharmacy)
- Long Beach Memorial Medical Center
- Long Beach Memorial Medical Center
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.