Organization Active NPI

Simple Health Acupuncture & Wellness, Inc.

  • Acupuncturist
  • Long Beach, CA
National Provider Identifier
1962971812
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SIMPLE HEALTH ACUPUNCTURE & WELLNESS, INC.
Practice address
3505 Long Beach Blvd Ste 2D
Long Beach, CA 90807-3947
Phone
(562) 424-5505
Fax
(562) 318-3046
NPI assigned
Nov 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Mr. Gregory Ross Brown
Title
President
Phone
(562) 426-8247

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

3505 Long Beach Blvd Ste 2D
Long Beach, CA 90807-3947

Mailing address

3505 Long Beach Blvd Ste 2D
Long Beach, CA 90807-3947
Phone (562) 424-5505

Other names 1

  • Simple Health Wellness Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190925001511 CA Part B Supplier - Clinic/Group Practice 3375873904 Receives reassigned benefits from 2 practitioners
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1962971812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 LONG BEACH BLVD STE 2D",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073947",
            "telephone_number": "562-424-5505",
            "fax_number": "562-318-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 LONG BEACH BLVD STE 2D",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073947",
            "telephone_number": "562-424-5505",
            "fax_number": "562-318-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE HEALTH ACUPUNCTURE & WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-426-8247",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simple Health Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.