Bixby Medical Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

20A14256 Issued in CA

Legal business name

BIXBY MEDICAL CENTER INC

Practice address

3711 Long Beach Blvd Ste 200
Long Beach, CA 90807-3319

Phone

(562) 980-0555

NPI assigned

Sep 1, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Don Qui Pham, DO

Title

Medical Director

Phone

(786) 371-4455

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861910515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 LONG BEACH BLVD STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073319",
            "telephone_number": "562-980-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 LONG BEACH BLVD STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073319",
            "telephone_number": "562-980-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIXBY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "QUI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "786-371-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "20A14256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bixby Healthcare Group LLC
• Bixby Knoll Place
• Bixby Knolls Home Health, LLC
• Bixby Knolls Towers, Inc
• Bixby Laser Center
• Black Girls Mental Health Collective, a Family Therapy Prof. Corp.
• Ariel Christine Black
• Brianna Katrice Black
• Elizabeth Black
• Jaleesa Black

• Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.