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ATLANTIC UROLOGY MEDICAL GROUP INC
NPI 1467649764
Specialist in Long Beach, CA

Active since October 01, 2007CLIA 05D0554349 · Microscopy
701 E 28TH ST, SUITE 319, LONG BEACH, CA 90806(562) 595-5977(562) 490-0509 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Atlantic Urology Medical Group Inc NPPES

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

ATLANTIC UROLOGY MEDICAL GROUP INC (NPI 1467649764) is a healthcare organization registered as a specialist in Long Beach, California and active in the NPI registry since October 2007. The organization holds a CLIA Microscopy certificate valid through October 20, 2026 and lists Wendy Solis, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1467649764
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameATLANTIC UROLOGY MEDICAL GROUP INC
Location Address701 E 28TH ST, SUITE 319Long Beach, CA 90806-2759
Mailing Address701 E 28th St, Suite 319Long Beach, CA 90806-2759 · (562) 595-5977 · Fax (562) 490-0509
Phone(562) 595-5977
Fax(562) 490-0509
Organization SubpartNo
Authorized OfficialWendy SolisOffice Manager · (562) 595-5977
Enumeration DateOctober 1, 2007
Last NPPES UpdateAugust 27, 2019
✔ NPI 1467649764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A32052
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
701 E 28TH ST, Long Beach, CA 90806
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Other Identifiers 2

OtherW9927CA · Medicare Id
Medicaid2405716CA

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 SINGLE SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0554349

Atlantic Urology Medical Group · Long Beach, CA
Active · expires Oct 20, 2026
CLIA Number05D0554349
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorBarton H. Wachs MD
Laboratory Phone(562) 595-5977
Laboratory LocationAtlantic Urology Medical Group701 East 28th Street #319, Long Beach, CA 90806
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

ANDREW JI KANG PA-C
Allergy & Immunology (Allergy)
701 E 28TH ST
LONG BEACH, CA 90806
Los Angeles County (562) 294-3315
JEFFREY BRUCE RIKER M.D.
Specialist
701 E 28TH ST, STE 318
LONG BEACH, CA 90806
Los Angeles County (562) 290-8888
JAMES J KRUEGER, MD, INC
Specialist
701 E 28TH ST, 400
LONG BEACH, CA 90806
Los Angeles County (562) 424-6040
FRED H BATKIN M.D.
Physical Medicine & Rehabilitation
701 E 28TH ST, 116
LONG BEACH, CA 90806
Los Angeles County (562) 424-8111
DR. RAYMOND M BAUTISTA
Podiatrist (Sports Medicine)
701 E 28TH ST, SUITE 111
LONG BEACH, CA 90806
Los Angeles County (562) 426-2551
DR. TOMI EVANS M.D.
Specialist
701 E 28TH ST, SUITE 411
LONG BEACH, CA 90806
Los Angeles County (562) 426-0338
MS. PATRICIA J GAMBOL APNG
Clinical Nurse Specialist
701 E 28TH ST, SUITE 412
LONG BEACH, CA 90806
Los Angeles County (562) 933-7874
BARRY JOHN FREEMAN M.D.
Anesthesiology
701 E 28TH ST, SUITE # 301
LONG BEACH, CA 90806
Los Angeles County (562) 997-7864

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 Atlantic Urology Medical Group Inc's NPI number?

The NPI number for Atlantic Urology Medical Group Inc is 1467649764. It was assigned to this organization in the NPPES registry on October 1, 2007.

Where is Atlantic Urology Medical Group Inc located?

Atlantic Urology Medical Group Inc is located at 701 E 28th St Suite 319, Long Beach, CA 90806. The listed phone number is (562) 595-5977.

What is Atlantic Urology Medical Group Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Atlantic Urology Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0554349) is associated with this NPI, valid through October 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Atlantic Urology Medical Group Inc was last updated on August 27, 2019. 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.