NPIMap

Organization Active NPI

California State University at Long Beach

  • Student Health Clinic/Center
  • Long Beach, CA
National Provider Identifier
1962650820
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
N/A Issued in CA
Legal business name
CALIFORNIA STATE UNIVERSITY AT LONG BEACH
Practice address
1250 N Bellflower Blvd
Student Health Services
Long Beach, CA 90840-0004
Phone
(562) 985-2208
Fax
(562) 985-8404
NPI assigned
Sep 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Mr. Michael Nicholas Carbuto, D. O.
Title
Director Student Health Services
Phone
(562) 985-2208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X N/A CA Primary

Addresses

Primary practice location

1250 N Bellflower Blvd
Student Health Services
Long Beach, CA 90840-0004

Mailing address

1250 Belflower Blvd
Student Health Services
Long Beach, CA 90840-0201
Phone (562) 985-2208

Other identifiers 1

IdentifierTypeStateIssuer
GR009803OtherCAMEDICAL GROUP NUMBER

Other names 1

  • CSULB Student Health Services 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
05D0670449Csulb-Student Health Services1250 Bellflower Blvd, RM 241a, Long Beach, CA 90840ComplianceMar 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
State of California Prison Industry Authority30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

Locations

1250 Belflower Blvd
Long Beach, CA 90840

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1962650820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 BELFLOWER BLVD",
            "address_2": "STUDENT HEALTH SERVICES",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908400201",
            "telephone_number": "562-985-2208",
            "fax_number": "562-985-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 N BELLFLOWER BLVD",
            "address_2": "STUDENT HEALTH SERVICES",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908400004",
            "telephone_number": "562-985-2208",
            "fax_number": "562-985-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA STATE UNIVERSITY AT LONG BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "CARBUTO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "DIRECTOR STUDENT HEALTH SERVICES",
        "authorized_official_telephone_number": "562-985-2208",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D. O."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "CA",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL GROUP NUMBER",
            "identifier": "GR009803",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSULB Student Health Services",
            "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 Sep 4, 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.