LONG BEACH PEDIATRIC CLINIC
NPI 1043640063
Case Manager/Care Coordinator in Long Beach, CA
NPI Status: Active since November 13, 2013
Contact Information
2880 ATLANTIC AVE STE 170
LONG BEACH, CA
ZIP 90806
Phone: (562) 492-9900
Fax: (562) 492-9902
- Organization
- Case Manager/Care Coordinator
- CLIA Number: 05D2111836
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-14-2028
About LONG BEACH PEDIATRIC CLINIC
This page provides the complete NPI Profile along with additional information for Long Beach Pediatric Clinic, a provider established in Long Beach, California operating as a Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1043640063 assigned on November 2013. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Long Beach Pediatric Clinic. The authorized official of this NPI record is Dr. John Paul Cardin Jr. M.d. (Medical Director)
- NPI
- 1043640063
- Provider Legal Name
- CARDIN HEALTHCARE, A MEDICAL GROUP, INC.
- Other Organization Name
- LONG BEACH PEDIATRIC CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 2880 ATLANTIC AVE STE 170 LONG BEACH, CA 90806
- Location Phone
- (562) 492-9900
- Location Fax
- (562) 492-9902
- Mailing Address
- 2880 ATLANTIC AVE SUITE 170 LONG BEACH, CA 90806
- Mailing Phone
- (562) 492-9900
- Mailing Fax
- (562) 492-9902
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-13-2013
- Last Update Date
- 12-19-2024
- Code Navigator
Location Map
Secondary Locations
- 2880 Atlantic Ave Ste 230
Long Beach, CA 90806
(562) 424-4404 - 2880 Atlantic Ave Ste 110
Long Beach, CA 90806
(562) 424-4404 - 2880 Atlantic Ave Ste 210
Long Beach, CA 90806
(562) 550-7400
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Case Manager/Care Coordinator
- Taxonomy Code
- 171M00000X
- Type
- Other Service Providers
- Taxonomy Description
- A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171W00000X | Other Service Providers | Contractor | |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 3 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 4 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2111836
- Facility Type
- Physician Office
- Certificate Effective Date
- April 15, 2026
- Certificate Expiration Date
- April 14, 2028
- Laboratory Director
- JOHN P. CARDIN JR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Long Beach Pediatric Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1043640063, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043640063, enumerated as an "organization" on November 13, 2013.
The provider is located at 2880 ATLANTIC AVE STE 170 LONG BEACH, CA 90806 and the phone number is (562) 492-9900.
Case Manager/Care Coordinator with taxonomy code 171M00000X.
