Organization Active NPI

Bixby Knolls Towers, Inc

Doing business as Bixby Knolls Health Care & Rehab Center

  • Skilled Nursing Facility
  • Long Beach, CA
National Provider Identifier
1932104213
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
940000023 Issued in CA
Legal business name
BIXBY KNOLLS TOWERS, INC
Doing business as
Bixby Knolls Health Care & Rehab Center
Practice address
3747 Atlantic Ave
Long Beach, CA 90807-3428
Phone
(562) 426-6123
Fax
(562) 426-1506
NPI assigned
Jun 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Authorized official

Name
Stuart Hartman
Title
V.P. of Operations
Phone
(562) 257-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 940000023 CA Primary

Addresses

Primary practice location

3747 Atlantic Ave
Long Beach, CA 90807-3428

Mailing address

3747 Atlantic Ave
Long Beach, CA 90807-3428
Phone (562) 426-6123

Other identifiers 1

IdentifierTypeStateIssuer
ZZT06283FMedicaidCA

Other names 1

  • BIXBY KNOLLS HEALTH CARE & REHAB CENTER Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0881656Bixby Knolls Towers3747 Atlantic Avenue, Long Beach, CA 90807Certificate of waiverJan 12, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1932104213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073428",
            "telephone_number": "562-426-6123",
            "fax_number": "562-426-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073428",
            "telephone_number": "562-426-6123",
            "fax_number": "562-426-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIXBY KNOLLS TOWERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "V.P. OF OPERATIONS",
        "authorized_official_telephone_number": "562-257-5100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06283F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIXBY KNOLLS HEALTH CARE & REHAB CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.