NPIMap

Organization Active NPI

Long Beach Memorial Medical

  • General Acute Care Hospital
  • Long Beach, CA
National Provider Identifier
1962442012
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
93000102 Issued in CA
Legal business name
LONG BEACH MEMORIAL MEDICAL
Practice address
2801 Atlantic Ave
Long Beach, CA 90806
Phone
(562) 933-2000
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Chris Finch
Title
Chief Compliance Officer
Phone
(714) 377-3218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 93000102 CA Primary

Addresses

Primary practice location

2801 Atlantic Ave
Long Beach, CA 90806

Mailing address

2801 Atlantic Ave
Long Beach, CA 90806-1737
Phone (562) 933-2000

Other identifiers 3

IdentifierTypeStateIssuer
HSP30485GMedicaidCA
HSC30485GMedicaidCA
HSP40485GMedicaidCA

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://52.70.132.174:8191/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other Medforce Technologies, Inc
CONNECT URL https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071212000498 CA Part A Provider - Hospital 1850311952 Practice locations: Los Alamitos, CA; Long Beach, CA
O20110708000241 CA Part B Supplier - Clinic/Group Practice 3173550704 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Long Beach, CA

Hospital certification: CCN 050485

Legal name
LONG BEACH MEMORIAL MEDICAL
Doing business as
MEMORIALCARE LONG BEACH MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 21, 2018
Beds
570 (528 certified)
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Apr 7, 1980 in CA
Enrollment address
2801 Atlantic Ave
Long Beach, CA 90806-1701
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Memorialcare Long Beach Medical CenterCCN 050485
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Miller Children'S Hospital Center14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

2651 Elm Ave
Ste 307
Long Beach, CA 90806
Phone (562) 422-1110

2865 Atlantic Ave
Ste 210
Long Beach, CA 90806
Phone (562) 933-9236

5182 Katella Ave
Ste 106
Los Alamitos, CA 90720

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Eugene Paul Kim Individual Corporate OfficerChief Executive Officer Feb 1, 2026
Memorial Health Services Organization, Fountain Valley, CA Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1980 100%
Blair Kent Individual Corporate OfficerChief Executive Officer Jul 1, 2023
Karyn Gunn Individual Corporate DirectorBoard Member Jul 1, 2024
Jane Conoley Individual Corporate DirectorBoard Member Jul 1, 2016
Harold Milton Vandyke Individual Corporate DirectorBoard Member Jul 1, 2020
Andrew Wittenberg Individual Corporate DirectorBoard Member Jul 1, 2021
Jody S Dial Individual Corporate OfficerChief Financial Officer Feb 1, 2026
W-2 Managing EmployeeChief Financial Officer Feb 1, 2026
Cynthia a Herzog Individual Corporate DirectorBoard Member Jul 1, 2016
Barry Steinmetz Individual Corporate DirectorBoard Member Jul 1, 2023
Jennifer a McNulty Individual Corporate DirectorBoard Member Jul 1, 2019
John Fielder Individual Corporate DirectorBoard Member Jul 1, 2016
Braden Phillips Individual Corporate DirectorBoard Member Jul 1, 2018
Barry Arbuckle Individual Corporate Director Nov 27, 2007
Darick Simpson Individual Corporate DirectorBoard Member Jul 1, 2023
Chris Finch Individual Corporate OfficerChief Compliance Officer Oct 6, 1998
Susan Wise Individual Corporate DirectorBoard Member Jul 1, 2016
James H Wells Individual Corporate DirectorBoard Member Jul 1, 2016
Robert Schack Individual Corporate Director Jul 1, 2018

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 786

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 786

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1962442012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061737",
            "telephone_number": "562-933-2000"
        },
        {
            "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": "90806",
            "telephone_number": "562-933-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH MEMORIAL MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "FINCH",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "714-377-3218"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "93000102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP30485G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30485G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40485G",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://52.70.132.174:8191/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2003.1",
            "affiliationName": "Medforce Technologies, Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2348 SW Topeka Blvd",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666111283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.1",
            "affiliationName": "Bluemark",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "40 Sunset Ridge Rd Ste 120",
            "city": "New Paltz",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125611039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.