Organization Active NPI

Memorial Pulmonary & Sleep Consultants a Medical Group, Inc.

  • Sleep Medicine (Internal Medicine) Physician
  • Long Beach, CA
National Provider Identifier
1841200847
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
G28692 Issued in CA
Legal business name
MEMORIAL PULMONARY & SLEEP CONSULTANTS A MEDICAL GROUP, INC.
Doing business as
Memorial Pulmonary & Sleep Consultants a medical Group, Inc
Practice address
701 E 28TH St Ste 318
Long Beach, CA 90806-2785
Phone
(562) 290-8888
NPI assigned
Aug 9, 2006
Last updated
Jan 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Dr. Stephen Edward Brown, M.D.
Title
Director
Phone
(562) 290-8888

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0005X A53904 CA
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X A53904 CA
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X G28692 CA Primary

Addresses

Primary practice location

701 E 28TH St Ste 318
Long Beach, CA 90806-2785

Mailing address

701 E 28TH St Ste 318
Long Beach, CA 90806-2785
Phone (562) 290-8888

Other identifiers 1

IdentifierTypeStateIssuer
GR0086880MedicaidCA

Other names 1

  • Memorial Pulmonary & Sleep Consultants a medical Group, Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1841200847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST STE 318",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062785",
            "telephone_number": "562-290-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST STE 318",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062785",
            "telephone_number": "562-290-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL PULMONARY & SLEEP CONSULTANTS A MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "562-290-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "CA",
            "license": "A53904",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A53904",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "G28692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0086880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Pulmonary & Sleep Consultants a medical Group, Inc",
            "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 Jan 26, 2012; 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.