Active NPI
GCH Medical Group, Inc.
- Emergency Medicine Physician
- Long Beach, CA
National Provider Identifier
1730567579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- GCH MEDICAL GROUP, INC.
- Practice address
- 1720 Termino Ave
Long Beach, CA 90804-2104 - Phone
- (747) 283-1809
- NPI assigned
- May 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philip J. Fagan Jr., M.D.
- Title
- President
- Phone
- (747) 283-1809
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Hospitalist Physician | 208M00000X |
Addresses
Primary practice location
1720 Termino Ave
Long Beach, CA 90804-2104
Mailing address
PO Box 35145 #1021
Seattle, WA 98124-5145
Phone (747) 283-1809
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630540800000",
"number": "1730567579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35145 #1021",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981245145",
"telephone_number": "747-283-1809"
},
{
"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": "908042104",
"telephone_number": "747-283-1809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GCH MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-13",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A",
"authorized_official_last_name": "FAGAN",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "747-283-1809",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": false
}
],
"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 Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.