ST. MARY MEDICAL CENTER
NPI 1285007419
Clinic/Center in Long Beach, CA

Q: What is St. Mary Medical Center's NPI number?

The NPI number for St. Mary Medical Center is 1285007419. It was assigned to this organization in the NPPES registry on November 10, 2015.

Q: What is St. Mary Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since November 10, 2015CLIA 05D0642663 · Accreditation

1045 ATLANTIC AVE, SUITE 914, LONG BEACH, CA 90813(562) 624-4977 Get Directions Write a Review

NPPES record last updated: November 10, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About St. Mary Medical Center NPPES

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

ST. MARY MEDICAL CENTER (NPI 1285007419) is a healthcare organization registered as a clinic/center in Long Beach, California and active in the NPI registry since November 2015. The organization holds an CLIA Accreditation certificate valid through February 8, 2027 and lists Marica Alcouloumre, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1285007419

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameST. MARY MEDICAL CENTER

Location Address1045 ATLANTIC AVE, SUITE 914Long Beach, CA 90813-3408

Mailing Address1045 Atlantic Ave, Suite 914Long Beach, CA 90813-3408 · (562) 624-4977

Phone(562) 624-4977

Organization SubpartNo

Authorized OfficialMarica AlcouloumreMedical Director · (562) 624-4900

Enumeration DateNovember 10, 2015

✔ NPI 1285007419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1045 ATLANTIC AVE, Long Beach, CA 90813

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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 Accreditation 05D0642663

St. Mary Medical Center Clinical Laboratory · Long Beach, CA

Active · expires Feb 8, 2027

CLIA Number05D0642663

Laboratory TypeHospital

Certificate Effective DateFebruary 9, 2025

Certificate Expiration DateFebruary 8, 2027

Laboratory DirectorDr. Lisa L. Shane

Laboratory Phone(562) 491-9690

Laboratory LocationSt. Mary Medical Center Clinical Laboratory1050 Linden Ave, 2nd Fl, Long Beach, CA 90813

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

NEUROMEDICAL DIAGNOSTIC MEDICAL GROUP

Psychiatry & Neurology (Neurology)

1045 ATLANTIC AVE, 719
LONG BEACH, CA 90813

Los Angeles County (562) 591-1324

ST MARYS RADIOLOGY MEDICAL GROUP

Specialist

1045 ATLANTIC AVE, SUITE 105
LONG BEACH, CA 90813

Los Angeles County (562) 437-3833

COREEN MARIE CORREA FNP

Nurse Practitioner (Family)

1045 ATLANTIC AVE, 508
LONG BEACH, CA 90813

Los Angeles County (562) 437-1882

DR. BERTRAM E SOHL M.D.

Specialist

1045 ATLANTIC AVE, SUITE 508
LONG BEACH, CA 90813

Los Angeles County (562) 437-1882

NEILL RAMOS M.D.

Internal Medicine

1045 ATLANTIC AVE, SUITE 708
LONG BEACH, CA 90813

Los Angeles County (562) 491-9045

CARDIOVASCULAR ASSOCIATES, A MEDICAL GROUP, INC.

Internal Medicine (Cardiovascular Disease)

1045 ATLANTIC AVE, SUITE 912
LONG BEACH, CA 90813

Los Angeles County (562) 437-2801

TERRANCE W DUSHENKO PHD

Psychologist

1045 ATLANTIC AVE, #806
LONG BEACH, CA 90813

Los Angeles County (562) 590-5594

DR. CHARLES FRANKLIN BROWN M.D.

Radiology (Diagnostic Radiology)

1045 ATLANTIC AVE, SUITE 105
LONG BEACH, CA 90813

Los Angeles County (562) 437-6982

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. Mary Medical Center's NPI number?

The NPI number for St. Mary Medical Center is 1285007419. It was assigned to this organization in the NPPES registry on November 10, 2015.

Where is St. Mary Medical Center located?

St. Mary Medical Center is located at 1045 Atlantic Ave Suite 914, Long Beach, CA 90813. The listed phone number is (562) 624-4977.

What is St. Mary Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does St. Mary Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0642663) is associated with this NPI, valid through February 8, 2027. 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. Mary Medical Center was last updated on November 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.