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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 940000023
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT06283F | Medicaid | CA |
Other names 1
- BIXBY KNOLLS HEALTH CARE & REHAB CENTER
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0881656 | Bixby Knolls Towers | Certificate of waiver | Jan 12, 2028 |
National Provider Directory
National Provider DirectoryNPI 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.