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BIXBY KNOLL PLACE
NPI 1427265800
Intermediate Care Facility, Intellectual Disabilities in Long Beach, CA

Active since May 16, 2007CLIA 05D2062986 · Waiver
3706 PINE AVE, LONG BEACH, CA 90807(562) 595-9713(562) 595-0101 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Bixby Knoll Place NPPES

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

BIXBY KNOLL PLACE (NPI 1427265800) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Long Beach, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Smyrna Dojcinovic, Licensee, as its authorized official.

NPPES Registry Identity

NPI1427265800
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameBIXBY KNOLL PLACE
Location Address3706 PINE AVELong Beach, CA 90807-3258
Mailing Address15920 S Dalton AveGardena, CA 90247-3908 · (310) 808-0883 · Fax (310) 808-0883
Phone(562) 595-9713
Fax(562) 595-0101
Organization SubpartNo
Authorized OfficialSmyrna DojcinovicLicensee · (310) 808-0883
Enumeration DateMay 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1427265800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
3706 PINE AVE, Long Beach, CA 90807
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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 Waiver 05D2062986

Bixby Knolls Place · Long Beach, CA
Active · expires Jul 23, 2027
CLIA Number05D2062986
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorEugene Hardin
Laboratory Phone(562) 595-9713
Laboratory LocationBixby Knolls Place3706 Pine Ave, Long Beach, CA 90807
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bixby Knoll Place's NPI number?

The NPI number for Bixby Knoll Place is 1427265800. It was assigned to this organization in the NPPES registry on May 16, 2007.

Where is Bixby Knoll Place located?

Bixby Knoll Place is located at 3706 Pine Ave, Long Beach, CA 90807. The listed phone number is (562) 595-9713.

What is Bixby Knoll Place's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Bixby Knoll Place hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2062986) is associated with this NPI, valid through July 23, 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 Bixby Knoll Place was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.