Secrets of the Island

Primary specialty

ContractorTaxonomy code 171W00000X

License

171W00000X Issued in CA

Legal business name

SECRETS OF THE ISLAND

Practice address

3821 Atlantic Ave
Suite F
Long Beach, CA 90807-3534

Phone

(562) 940-5450

Fax

(562) 424-3235

NPI assigned

Jun 30, 2016

Organization subpart

No

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

Authorized official

Name

Elizabeth A Perez, B.O.

Title

Manager

Phone

(562) 940-5450

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Farrell, M.T.

  • Contractor
  • Long Beach, CA
  • NPI 1023461407
  NPD (past)
• Edward B Rogers Jr., M.T

  • Specialist
  • Long Beach, CA
  • NPI 1558714923

  Contractor

  NPD (past)

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1720439755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 ATLANTIC AVE",
            "address_2": "SUITE F",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073534",
            "telephone_number": "562-940-5450",
            "fax_number": "562-424-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 ATLANTIC AVE",
            "address_2": "SUITE F",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073534",
            "telephone_number": "562-940-5450",
            "fax_number": "562-424-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECRETS OF THE ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "562-940-5450",
        "authorized_official_credential": "B.O."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "CA",
            "license": "171W00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720439755",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Seay
• Jose Luis Sebastian
• Raynard Sebastian, MD
• Megan Ashley Seco, MA, LMFT
• Second Chance House
• Vanessa Marie Sedano, MSW, LCSW #109538
• Azadeh Sheerin Sedy, LMFT
• Seedlings of Love Doula Services LLC
• Alexandria Seelye, LMFT
• Danielle Sees, RN

• Contractor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Contractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.