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BEACH PHYSICAL MEDICINE PC
NPI 1356053508
General Practice in Long Beach, CA

Active since December 20, 2022
5512 E BRITTON DR STE 100, LONG BEACH, CA 90815(562) 594-6644 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 27, 2023, Dec 20, 2022 (2 updates tracked since 2022).

About Beach Physical Medicine Pc NPPES

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

BEACH PHYSICAL MEDICINE PC (NPI 1356053508) is a healthcare organization registered as a general practice in Long Beach, California and active in the NPI registry since December 2022. The organization lists Nathanial Lynott, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1356053508
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBEACH PHYSICAL MEDICINE PC
Location Address5512 E BRITTON DR STE 100Long Beach, CA 90815-3149
Mailing Address5512 E Britton Dr Ste 100Long Beach, CA 90815-3149 · (562) 594-6644
Phone(562) 594-6644
Organization SubpartNo
Authorized OfficialNathanial LynottAuthorized Official · (562) 594-6644
Enumeration DateDecember 20, 2022
Last NPPES UpdateMarch 27, 20232 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
✔ NPI 1356053508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
5512 E BRITTON DR STE 100, Long Beach, CA 90815
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beach Physical Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Beach Physical Medicine PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nathanial Lynott, D.C., L.AC
Chiropractic
NPI 1154594570
5512 E BRITTON DR SUITE 100
Long Beach, CA 90815
(562) 594-6644
✔ Accepts MedicareSame address
Nahom Tassew
Nurse Practitioner
NPI 1316689185
1300 N VERMONT AVE STE 902
Los Angeles, CA 90027
(323) 913-9130
✔ PECOS✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Beach Physical Medicine PC's NPI number?

The NPI number for Beach Physical Medicine PC is 1356053508. It was assigned to this organization in the NPPES registry on December 20, 2022.

Where is Beach Physical Medicine PC located?

Beach Physical Medicine PC is located at 5512 E Britton Dr Ste 100, Long Beach, CA 90815. The listed phone number is (562) 594-6644.

What is Beach Physical Medicine PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Beach Physical Medicine PC enrolled in Medicare?

Yes. Beach Physical Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beach Physical Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Beach Physical Medicine PC, in Chiropractic and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beach Physical Medicine PC was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.