California Juco Hoops Report

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CALIFORNIA JUCO HOOPS REPORT

Practice address

4526 California Ave
Long Beach, CA 90807-1589

Phone

(657) 427-3895

NPI assigned

Sep 22, 2025

Last updated

Mar 25, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marcus Lee Bryant

Title

Manager

Phone

(657) 427-3895

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1851263677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5090 RICHMOND AVE UNIT 315",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770567402",
            "telephone_number": "657-427-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4526 CALIFORNIA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908071589",
            "telephone_number": "657-427-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA JUCO HOOPS REPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "657-427-3895"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacee Calhoun
• Menchie Caliboso, MT-BC
• California Anesthesia Associates Medical Group, Inc.
• California Aquatic Therapy & Wellness Center, Inc. (Pools of Hope)
• California Care Associates Inc
• California Radiation Oncology Medical Group, Inc.
• California Rehabilitation & Sports Therapy a California Physical Ther (California Rehabilitation & Sports Therapy Lakewood)
• California State University at Long Beach (CSULB Student Health Services)
• California State University Long Beach (PT@TheBeach)
• California State University, Long Beach

• Community/Retail Pharmacy in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.