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PACIFIC SHORES MEDICAL GROUP, INC.
NPI 1073662110
Internal Medicine - Hematology & Oncology in Long Beach, CA

Active since January 09, 2007
3747 WORSHAM AVE, STE 101, LONG BEACH, CA 90808(562) 430-5900 Get Directions Write a Review

NPPES record last updated: April 12, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pacific Shores Medical Group, Inc. NPPES

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

PACIFIC SHORES MEDICAL GROUP, INC. (NPI 1073662110) is a healthcare organization registered as a hematology & oncology in Long Beach, California and active in the NPI registry since January 2007. The organization lists Nerses Simon Tchekmedyian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073662110
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NamePACIFIC SHORES MEDICAL GROUP, INC.
Location Address3747 WORSHAM AVE, STE 101Long Beach, CA 90808-1774
Mailing Address1043 Elm Ave, Ste 104Long Beach, CA 90813-3271 · (562) 590-0345 · Fax (562) 437-8139
Phone(562) 430-5900
Organization SubpartNo
Authorized OfficialNerses Simon TchekmedyianCeo · (562) 590-0345
Enumeration DateJanuary 9, 2007
Last NPPES UpdateApril 12, 2016
✔ NPI 1073662110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
3747 WORSHAM AVE, Long Beach, CA 90808
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Other Identifiers 3

MedicaidGR0065543CA
Medicare NSC1118450003CA
Medicare PINW13494ACA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

PATRICIA NIRAV PATEL FNP-C
Nurse Practitioner (Family)
3747 WORSHAM AVE, SUITE 100
LONG BEACH, CA 90808
Los Angeles County (562) 430-4513
DR. VICTORIA M FOLEY DPM
Podiatrist (Foot & Ankle Surgery)
3747 WORSHAM AVE, SUITE 201
LONG BEACH, CA 90808
Los Angeles County (562) 420-9800
DR. CONSTANCE JAYNE ORNELAS D.P.M
Podiatrist (Foot & Ankle Surgery)
3747 WORSHAM AVE, #201
LONG BEACH, CA 90808
Los Angeles County (562) 420-9800
VICTORIA FOLEY PODIATRIC MEDICAL
Durable Medical Equipment & Medical Supplies
3747 WORSHAM AVE, SUITE 201
LONG BEACH, CA 90808
Los Angeles County (562) 420-9800
SOUTHLAND NEUROLOGIC INSTITUTE
Specialist
3747 WORSHAM AVE, SUITE 100
LONG BEACH, CA 90808
Los Angeles County (562) 430-4513
SOUTHLAND NEUROLOGIC INSTITUTE
Specialist
3747 WORSHAM AVE
LONG BEACH, CA 90808
Los Angeles County (562) 430-4513
SOUTHLAND NEUROLOGIC INSTITUTE
Specialist
3747 WORSHAM AVE
LONG BEACH, CA 90808
Los Angeles County (562) 430-4513

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 Pacific Shores Medical Group, Inc.'s NPI number?

The NPI number for Pacific Shores Medical Group, Inc. is 1073662110. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Pacific Shores Medical Group, Inc. located?

Pacific Shores Medical Group, Inc. is located at 3747 Worsham Ave Ste 101, Long Beach, CA 90808. The listed phone number is (562) 430-5900.

What is Pacific Shores Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Pacific Shores Medical Group, Inc. was last updated on April 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.