Active NPI
Edwin Zelada
- Substance Abuse Rehabilitation Facility
- Long Beach, CA
National Provider Identifier
1922304351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- RI-Z1012201538
- Practice address
- 1601 E 10TH St
Long Beach, CA 90813-5035 - Phone
- (562) 590-9010
- NPI assigned
- Feb 2, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | RI-Z1012201538 | CA | Primary |
Addresses
Primary practice location
1601 E 10TH St
Long Beach, CA 90813-5035
Mailing address
1601 E 10TH St
Long Beach, CA 90813-5035
Phone (562) 590-9010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI-Z1012201538 | CA | MD | Substance Abuse Rehabilitation Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Public Health | Current | Accepting new patients | |
| Choices of Long Beach Inc | Substance Abuse Rehabilitation Facility | Past | Accepting new patients |
Interoperability endpoints
- edwinzelada-americanhealthservices@lacsapc.netsmartdirect.net
Organizations & group practices 2
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.
-
- Public Health or Welfare Agency
- Alhambra, CA
- NPI 1700090834
-
- Mental Illness Community Based Residential Treatment Facility
- Long Beach, CA
- NPI 1346223781
Substance Abuse Rehabilitation Facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1922304351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 E 10TH ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908135035",
"telephone_number": "562-590-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E 10TH ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908135035",
"telephone_number": "562-590-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELADA",
"first_name": "EDWIN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-02",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "RI-Z1012201538",
"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 Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.