Organization Active NPI

Tri City Health Group

  • Specialist
  • Long Beach, CA
National Provider Identifier
1861720708
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TRI CITY HEALTH GROUP
Practice address
1145 E San Antonio Dr Ste a
Long Beach, CA 90807-2379
Phone
(562) 984-5505
Fax
(562) 984-8599
NPI assigned
Dec 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Vincent L. Gumbs, M.D.
Title
Medical Director
Phone
(562) 984-5505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1145 E San Antonio Dr Ste a
Long Beach, CA 90807-2379

Mailing address

1145 E San Antonio Dr Ste a
Long Beach, CA 90807-2379
Phone (562) 984-5505

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1861720708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 E SAN ANTONIO DR STE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072379",
            "telephone_number": "562-984-5505",
            "fax_number": "562-984-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 E SAN ANTONIO DR STE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072379",
            "telephone_number": "562-984-5505",
            "fax_number": "562-984-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITY HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "GUMBS",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-984-5505",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "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 Dec 4, 2009; 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.