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LONG BEACH PEDIATRIC CLINIC
NPI 1043640063
Case Manager/Care Coordinator in Long Beach, CA

Active since November 13, 2013CLIA Certified · 2 labs
2880 ATLANTIC AVE STE 170, LONG BEACH, CA 90806(562) 492-9900(562) 492-9902 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2024, Nov 8, 2022, Jan 13, 2022 and 1 more (4 updates tracked since 2021).

About Long Beach Pediatric Clinic NPPES

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

LONG BEACH PEDIATRIC CLINIC (NPI 1043640063) is a healthcare organization registered as a case manager/care coordinator in Long Beach, California and active in the NPI registry since November 2013. The organization holds 2 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists John Paul Cardin, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1043640063
Entity TypeOrganization
Primary Taxonomy171M00000X
Legal Business NameCARDIN HEALTHCARE, A MEDICAL GROUP, INC.
Location Address2880 ATLANTIC AVE STE 170Long Beach, CA 90806-1715
Mailing Address2880 Atlantic Ave, Suite 170Long Beach, CA 90806-1714 · (562) 492-9900 · Fax (562) 492-9902
Phone(562) 492-9900
Fax(562) 492-9902
Organization SubpartNo
Authorized OfficialJohn Paul CardinMedical Director · (562) 492-9900
Enumeration DateNovember 13, 2013
Last NPPES UpdateDecember 19, 20244 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
✔ NPI 1043640063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
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.
Also ListedContractorTaxonomy 171W00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
2880 ATLANTIC AVE STE 170, Long Beach, CA 90806
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Other Names 1

Other NameLong Beach Pediatric Clinic

Secondary Practice Locations 3

Location 12880 Atlantic Ave Ste 210Long Beach, CA 90806-1725 · Phone (562) 550-7400 · Fax (562) 424-4770
Location 22880 Atlantic Ave Ste 230Long Beach, CA 90806-1735 · Phone (562) 424-4404 · Fax (562) 424-5180
Location 32880 Atlantic Ave Ste 110Long Beach, CA 90806-1739 · Phone (562) 424-4404 · Fax (562) 424-4770

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 05D2072206

Long Beach Pediatric Clinic Inc · Long Beach, CA
Active · expires Jan 26, 2028
CLIA Number05D2072206
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2026
Certificate Expiration DateJanuary 26, 2028
Laboratory DirectorDerek L. Mccrae
Laboratory Phone(562) 492-9900
Laboratory LocationLong Beach Pediatric Clinic Inc2880 Atlantic Ave Ste 170, Long Beach, CA 90806
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2111836

Cardin Healthcare, A Medical Group Inc · Long Beach, CA
Active · expires Apr 14, 2028
CLIA Number05D2111836
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorJohn P. Cardin Jr
Laboratory Phone(562) 761-3751
Laboratory LocationCardin Healthcare, A Medical Group Inc2880 Atlantic Ave Ste 110, Long Beach, CA 90806
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. SAMANTHA LYNN SNIDER M.D.
Pediatrics
2880 ATLANTIC AVE STE 170
LONG BEACH, CA 90806
Los Angeles County (562) 492-9900
CHRISTY VUONG
Physician Assistant (Medical)
2880 ATLANTIC AVE STE 170
LONG BEACH, CA 90806
Los Angeles County (562) 424-4404
JENNIFER DAWN BIDWELL PA
Physician Assistant
2880 ATLANTIC AVE STE 170
LONG BEACH, CA 90806
Los Angeles County (562) 492-9900
NATALIE MA JOHNSON NP
Nurse Practitioner (Pediatrics)
2880 ATLANTIC AVE STE 170
LONG BEACH, CA 90806
Los Angeles County (562) 492-9900

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 Cardin Healthcare, A Medical Group, Inc.'s NPI number?

The NPI number for Cardin Healthcare, A Medical Group, Inc. is 1043640063. It was assigned to this organization in the NPPES registry on November 13, 2013. The provider is also known as Long Beach Pediatric Clinic.

Where is Cardin Healthcare, A Medical Group, Inc. located?

Cardin Healthcare, A Medical Group, Inc. is located at 2880 Atlantic Ave Ste 170, Long Beach, CA 90806. The listed phone number is (562) 492-9900.

What is Cardin Healthcare, A Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Does Cardin Healthcare, A Medical Group, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Cardin Healthcare, A Medical Group, Inc. was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.