Organization Active NPI

Wrigley Village Primary Care, Inc.

  • Primary Care Clinic/Center
  • Long Beach, CA
National Provider Identifier
1801470166
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WRIGLEY VILLAGE PRIMARY CARE, INC.
Practice address
2777 Pacific Ave Ste N
Long Beach, CA 90806-2625
Phone
(661) 231-5391
NPI assigned
May 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Dr. Cassandra Heller, DO
Title
Ceo
Phone
(661) 231-5391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2777 Pacific Ave Ste N
Long Beach, CA 90806-2625

Mailing address

2777 Pacific Ave Ste N
Long Beach, CA 90806-2625
Phone (661) 231-5391

National Provider Directory

National Provider Directory

Locations

2777 Pacific Ave
Ste N
Long Beach, CA 90806
Phone (562) 424-8199

2777 Pacific Ave
Ste 207
Long Beach, CA 90806
Phone (661) 321-5391

2777 Pacific Ave
Ste 207N
Long Beach, CA 90806

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1801470166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 PACIFIC AVE STE N",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062625",
            "telephone_number": "661-231-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 PACIFIC AVE STE N",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062625",
            "telephone_number": "661-231-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGLEY VILLAGE PRIMARY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-231-5391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "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 May 11, 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.

Verify at the official NPI Registry.