Long Beach Pet Imaging Center LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

6936-19 Issued in CA

Legal business name

LONG BEACH PET IMAGING CENTER LLC

Practice address

2708 E Willow St
Signal Hill, CA 90755-2217

Phone

(562) 427-3652

Fax

(562) 427-3652

NPI assigned

Jun 11, 2006

Last updated

Jun 6, 2013By 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

Jeffrey A. Dobkin, MDNPI 1215919147

Title

Medical Director

Phone

(562) 427-0714

Specialties & licenses 1

Addresses

Other identifiers 3

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Alliance Healthcare Services Inc

  • Mobile Radiology Clinic/Center
  • Sedona, AZ
  • NPI 1962622514

  Member Of

  NPD member

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey A Dobkin, MD

  • Nuclear Radiology Physician
  • Signal Hill, CA
  • NPI 1215919147
  Authorized official Same address or phone

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1871535278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 E WILLOW ST",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552217",
            "telephone_number": "562-427-3652",
            "fax_number": "562-427-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 E WILLOW ST",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552217",
            "telephone_number": "562-427-3652",
            "fax_number": "562-427-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH PET IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "DOBKIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-427-0714",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "6936-19",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "470001534",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EXE70146F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ01950Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malina Lim, MD
• Susan Lintner
• LKZ Unlimited Care LLC
• Elizabeth Llamas
• Long Beach Memorial Medical Center (Earl & Loraine Miller Children's Hospital Home Health Agency)
• Loo, Hsiao, & Tsai, a Professional Corporation (California Dental Specialties)
• Frank Javier Lopez
• Los Angeles Haven Hospice Inc (Haven Hospice)
• Nicole Love
• Lpmi Long Beach LLC

• Radiology Clinic/Center in Signal Hill, CA
• Providers in Signal Hill, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.