Active NPI
Renu Health Inc
- Family Medicine Physician
- Long Beach, CA
National Provider Identifier
1861261992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- RENU HEALTH INC
- Practice address
- 1703 Termino Ave Ste 209
Long Beach, CA 90804-2128 - Phone
- (562) 498-3002
- NPI assigned
- Dec 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexa Gozali, DO
- Title
- President
- Phone
- (949) 293-9360
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1703 Termino Ave Ste 209
Long Beach, CA 90804-2128
Mailing address
28743 Jardineras Dr
Valencia, CA 91354-3097
Other names 1
- Renu Health Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Laguna Niguel, CA
- NPI 1407309594
-
- Family Medicine Physician
- Long Beach, CA
- NPI 1437699774
-
- Family Medicine Physician
- Long Beach, CA
- NPI 1437241635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707696000000",
"number": "1861261992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28743 JARDINERAS DR",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913543097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 TERMINO AVE STE 209",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908042128",
"telephone_number": "562-498-3002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENU HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-29",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A",
"authorized_official_last_name": "GOZALI",
"authorized_official_first_name": "ALEXA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-293-9360",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Renu Health Medical Group",
"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 Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.