Organization Active NPI

Sweidan, Sohl & Emamian Medical Group, Inc.

  • Pediatrics Physician
  • Long Beach, CA
National Provider Identifier
1831470947
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SWEIDAN, SOHL & EMAMIAN MEDICAL GROUP, INC.
Practice address
1022 Long Beach Blvd
Long Beach, CA 90813-3221
Phone
(562) 513-3135
Fax
(562) 513-3189
NPI assigned
Sep 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Dr. Jacob Sweidan, M.D.NPI 1265494835
Title
President/Ceo/Owner
Phone
(714) 915-4656

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1022 Long Beach Blvd
Long Beach, CA 90813-3221

Mailing address

PO Box 8500
Newport Beach, CA 92658-8500

Other names 1

  • Kids 1st Clinic Doing business as

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
05D2207127Sweidan, Sohl & Emamian Medical Group, Inc1022 Long Beach Blvd, Long Beach, CA 90813Certificate of waiverDec 22, 2026

National Provider Directory

National Provider Directory

Locations

1022 Long Beach Blvd
Long Beach, CA 90813
Phone (562) 513-3135

Practitioners & affiliated clinicians

Practitioners 2

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": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1831470947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926588500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133221",
            "telephone_number": "562-513-3135",
            "fax_number": "562-513-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEIDAN, SOHL & EMAMIAN MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2024-10-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "SWEIDAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT/CEO/OWNER",
        "authorized_official_telephone_number": "714-915-4656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids 1st Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kids 1st Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.