Organization Active NPI

Te Medical Center, Inc

  • Primary Care Clinic/Center
  • Long Beach, CA
National Provider Identifier
1811268964
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A106386 Issued in CA
Legal business name
TE MEDICAL CENTER, INC
Practice address
2148 E Anaheim St
Long Beach, CA 90804-3408
Phone
(562) 218-4298
Fax
(562) 218-1480
NPI assigned
Jan 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Dr. Seanglong Te, M.D.NPI 1629119920
Title
President
Phone
(714) 376-2018

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Primary Care Clinic/Center 261QP2300X A106386 CA Primary

Addresses

Primary practice location

2148 E Anaheim St
Long Beach, CA 90804-3408

Mailing address

2148 E Anaheim St
Long Beach, CA 90804-3408
Phone (562) 218-4298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160624001018 CA Part B Supplier - Clinic/Group Practice 3476844200 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2284446Te Medical Center, Inc2148 E Anaheim Street, Long Beach, CA 90804Certificate of waiverJun 21, 2027

National Provider Directory

National Provider Directory

Locations

12772 Valley View St
Ste 3
Garden Grove, CA 92845
Phone (714) 376-2018

2148 E Anaheim St
Long Beach, CA 90804
Phone (562) 218-4298

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1327104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1811268964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043408",
            "telephone_number": "562-218-4298",
            "fax_number": "562-218-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043408",
            "telephone_number": "562-218-4298",
            "fax_number": "562-218-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TE MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-21",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "TE",
        "authorized_official_first_name": "SEANGLONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-376-2018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A106386",
            "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 Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.