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ST JOHN MEDICAL GROUP INC
NPI 1013188721
Internal Medicine in Long Beach, CA

Active since March 20, 2008CLIA 05D1051260 · Waiver
3530 LONG BEACH BLVD STE 120, LONG BEACH, CA 90807(562) 989-1200 Get Directions Write a Review

NPPES record last updated: June 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St John Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST JOHN MEDICAL GROUP INC (NPI 1013188721) is a healthcare organization registered as an internal medicine in Long Beach, California and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through February 26, 2028 and lists Youssef Awad, Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1013188721
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameST JOHN MEDICAL GROUP INC
Location Address3530 LONG BEACH BLVD STE 120Long Beach, CA 90807-3972
Mailing Address3530 Long Beach Blvd Ste 120Long Beach, CA 90807-3972 · (562) 989-1200
Phone(562) 989-1200
Organization SubpartNo
Authorized OfficialYoussef AwadMedical Officer · (909) 568-6770
Enumeration DateMarch 20, 2008
Last NPPES UpdateJune 26, 2021
NPPES CertifiedJune 26, 2021
✔ NPI 1013188721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A52194
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3530 LONG BEACH BLVD STE 120, Long Beach, CA 90807
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1051260

St John Medical Group Inc · Long Beach, CA
Active · expires Feb 26, 2028
CLIA Number05D1051260
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2026
Certificate Expiration DateFebruary 26, 2028
Laboratory DirectorYoussef B. Awad
Laboratory Phone(562) 989-1200
Laboratory LocationSt John Medical Group Inc3530 Long Beach Blvd Ste 120, Long Beach, CA 90807
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOUSSEF BEHNAM AWAD MD
Internal Medicine
3530 LONG BEACH BLVD STE 120
LONG BEACH, CA 90807
Los Angeles County (562) 989-1200
DR. JOHN AWAD MD
Internal Medicine
3530 LONG BEACH BLVD STE 120
LONG BEACH, CA 90807
Los Angeles County (562) 989-1200
DR. MARK AWAD MD
Anesthesiology
3530 LONG BEACH BLVD STE 120
LONG BEACH, CA 90807
Los Angeles County (562) 989-1200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St John Medical Group Inc's NPI number?

The NPI number for St John Medical Group Inc is 1013188721. It was assigned to this organization in the NPPES registry on March 20, 2008.

Where is St John Medical Group Inc located?

St John Medical Group Inc is located at 3530 Long Beach Blvd Ste 120, Long Beach, CA 90807. The listed phone number is (562) 989-1200.

What is St John Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does St John Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1051260) is associated with this NPI, valid through February 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St John Medical Group Inc was last updated on June 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.