Organization Active NPI

Vamc Long Beach

  • General Acute Care Hospital
  • Lakewood, CA
National Provider Identifier
1801996665
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
00000216 Issued in CA
Legal business name
VAMC LONG BEACH
Practice address
4725 Hayter Ave
Lakewood, CA 90712-3508
Phone
(562) 429-7440
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert A Gardia, RRT
Title
Respiratory Therapist
Phone
(562) 826-5843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 00000216 CA Primary

Addresses

Primary practice location

4725 Hayter Ave
Lakewood, CA 90712-3508

Mailing address

4725 Hayter Ave
Lakewood, CA 90712-3508
Phone (562) 429-7440

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801996665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 HAYTER AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907123508",
            "telephone_number": "562-429-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 HAYTER AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907123508",
            "telephone_number": "562-429-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAMC LONG BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARDIA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "562-826-5843",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "00000216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.