Kids Infectious Disease, Inc.

Primary specialty

Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X

License

G58629 Issued in CA

Legal business name

KIDS INFECTIOUS DISEASE, INC.

Practice address

2685 Elm Ave
Long Beach, CA 90806-1605

Phone

(562) 492-6383

Fax

(562) 997-9634

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By 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

Jay Lieberman, M.D.NPI 1164533279

Title

Managing Partner

Phone

(562) 493-6383

Specialties & licenses 1

Addresses

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.

• Jay M Lieberman, M.D.

  • Pediatric Infectious Diseases Physician
  • Long Beach, CA
  • NPI 1164533279
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881705911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 ELM AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061605",
            "telephone_number": "562-492-6383",
            "fax_number": "562-997-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 ELM AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061605",
            "telephone_number": "562-492-6383",
            "fax_number": "562-997-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS INFECTIOUS DISEASE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "562-493-6383",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "CA",
            "license": "G58629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kiamanesh, DDS
• Christine Suzanne Kiamzon, NP
• Raieka Kianian
• Jayashri Kidao, MD
• Brandon L Kidman
• Sophia Kien, SUD COUNSELOR/MSWASW
• Jessica Kieng
• Richard Rakvin Kieng, ATC
• Mary Louise Stepan Kiernan, MD
• Peter Andrew Kierstead

• Pediatric Infectious Diseases Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pediatric Infectious Diseases Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.