Individual provider Active NPI

Maha Gharibeh Reed, NP

  • Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1881640456
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP10354 Issued in CA
Practice address
2801 Atlantic Ave
Long Beach, CA 90806-1737
Phone
(562) 933-2000
Fax
(818) 587-2493
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP10354 CA Primary

Addresses

Primary practice location

2801 Atlantic Ave
Long Beach, CA 90806-1737

Mailing address

2103B Huntington LN
Redondo Beach, CA 90278-4308
Phone (310) 869-1295

Other identifiers 1

IdentifierTypeStateIssuer
P00235794OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041201000566 CA Practitioner - Nurse Practitioner 6507821550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

1010 N Sepulveda Blvd
Manhattan Beach, CA 90266-5929
Phone (310) 376-6262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10354CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute CurrentSince Nov 1, 2019 Accepting new patients
Providence Medical Institute CurrentSince Nov 1, 2019 Accepting new patients
Torrance Health Association Inc CurrentSince Oct 1, 2024 Accepting new patients
Columbia Emergency Medical Group Inc Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Locations

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

2110 E El Segundo Blvd
Ste 100
El Segundo, CA 90245
Phone (310) 517-7010

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

1010 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 322-9700

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

1499 W 7TH St
San Pedro, CA 90732

1499 W 1st St
San Pedro, CA 90732
Phone (310) 241-2590

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

2382 Crenshaw Blvd
Ste 5
Torrance, CA 90501
Phone (310) 618-6200

21311 Madrona Ave
Ste 101
Torrance, CA 90503
Phone (310) 792-4012

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

21311 Madrona Ave
Ste 100A
Torrance, CA 90503
Phone (310) 792-4400

2900 Lomita Blvd
Torrance, CA 90505
Phone (310) 257-7260

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mgharibehreed400479@oc.providencedirect.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1881640456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103B HUNTINGTON LN",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784308",
            "telephone_number": "310-869-1295",
            "fax_number": "818-587-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061737",
            "telephone_number": "562-933-2000",
            "fax_number": "818-587-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHARIBEH REED",
        "first_name": "MAHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP10354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00235794",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.