Organization Active NPI

Memorialcare Occupational Medicine

  • Occupational Medicine Clinic/Center
  • Long Beach, CA
National Provider Identifier
1841865409
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
MEMORIALCARE OCCUPATIONAL MEDICINE
Practice address
2110 N Bellflower Blvd
Long Beach, CA 90815-3126
Phone
(714) 377-3218
NPI assigned
May 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Chris Finch
Title
Chief Compliance Officer
Phone
(714) 377-3218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

2110 N Bellflower Blvd
Long Beach, CA 90815-3126

Mailing address

17360 Brookhurst St
Fountain Valley, CA 92708-3720
Phone (714) 377-3218

Other practice location 1

31001 Rancho Viejo Rd Ste 200
San Juan Capistrano, CA 92675-8704
Phone (714) 377-3218

Other practice location 2

9122 Adams Ave
Huntington Beach, CA 92646-3405
Phone (714) 377-3218

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1841865409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17360 BROOKHURST ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083720",
            "telephone_number": "714-377-3218",
            "fax_number": "714-377-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 N BELLFLOWER BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153126",
            "telephone_number": "714-377-3218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31001 Rancho Viejo Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Juan Capistrano",
            "state": "CA",
            "postal_code": "926758704",
            "country_code": "US",
            "telephone_number": "714-377-3218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9122 Adams Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926463405",
            "country_code": "US",
            "telephone_number": "714-377-3218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEMORIALCARE OCCUPATIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "FINCH",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "714-377-3218"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "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 Jun 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.