LONG BEACH MILLER CHILDREN'S HOSPITAL
NPI 1487015905
Clinic/Center - Rehabilitation in Long Beach, CA

NPI Status: Active since March 10, 2016

Contact Information

2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806
Phone: (562) 933-8832

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  • Organization
  • Clinic/Center
  • Rehabilitation

About LONG BEACH MILLER CHILDREN'S HOSPITAL

This page provides the complete NPI Profile along with additional information for Long Beach Miller Children's Hospital, a provider established in Long Beach, California operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1487015905 assigned on March 2016. The practitioner's primary taxonomy code is 261QR0400X with license number PSY18861 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Dr. Lisa Anne Fasnacht-hill Phd (Neuropsychologist)

NPI
1487015905
Provider Name
LONG BEACH MILLER CHILDREN'S HOSPITAL
Entity Type
Organization
Location Address
2801 ATLANTIC AVE LONG BEACH, CA 90806
Location Phone
(562) 933-8832
Mailing Address
2801 ATLANTIC AVE LONG BEACH, CA 90806
Mailing Phone
(562) 933-8832
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-10-2016
Last Update Date
03-10-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation

Taxonomy Code
261QR0400X
Type
Ambulatory Health Care Facilities
License No.
PSY18861
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LISA ANNE FASNACHT-HILL PHD

Authorized Official Title
NEUROPSYCHOLOGIST
Authorized Official Phone
(714) 345-5651

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487015905
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24167011090
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 0 + 1 + 1 + 0 + 9 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1487015905 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

RICHARD ERIC SWENSSON MD

Pediatrics

(Pediatric Cardiology)

2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806

(562) 933-3350

DR. JENNIFER LE PHARM.D.

Pharmacist

2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806

(562) 933-0286

DIANNA CHOOLJIAN MD PHD MPH

Radiology

(Neuroradiology)

2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806

(562) 933-1550

RICHARD Y CHAI MD

Radiology

(Diagnostic Radiology)

2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806

(562) 933-1550

OZ H DROR MD

Radiology

(Diagnostic Radiology)

2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806

(562) 933-1550

JUDITH J LABARBERA MD

Radiology

(Nuclear Radiology)

2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806

(562) 933-1550

ANGELA C SIE MD

Radiology

(Diagnostic Radiology)

2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806

(562) 933-1550

MICHAEL H WELLER MD

Radiology

(Pediatric Radiology)

2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806

(562) 933-1550

CLYDE W SMITH MD

Radiology

(Diagnostic Radiology)

2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806

(562) 933-1550

MILTON ROLANDO DRACHENBERG M.D., PH.D.

Pathology

(Hematology)

2801 ATLANTIC AVE
DEPARTMENT OF PATHOLOGY
LONG BEACH, CA
ZIP 90806

(562) 933-0828

KEVIN CHARLES O'BRIEN M.D.

Pediatrics

(Pediatric Critical Care Medicine)

2801 ATLANTIC AVE
3RD FLOOR
LONG BEACH, CA
ZIP 90806

(562) 933-8743

DR. GLORIA MARY BERTUCCI M.D.

Pathology

(Anatomic Pathology & Clinical Pathology)

2801 ATLANTIC AVE
DEPARTMENT OF PATHOLOGY
LONG BEACH, CA
ZIP 90806

(562) 933-0715

SAVITA GUPTA RIES M.D.

Pathology

(Anatomic Pathology & Clinical Pathology)

2801 ATLANTIC AVE
DEPARTMENT OF PATHOLOGY
LONG BEACH, CA
ZIP 90806

(562) 933-0727

MR. TANATE VACHIRA PA-C

Physician Assistant

2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806

(562) 933-2000

LISA SHANE I M.D.

Pathology

(Anatomic Pathology & Clinical Pathology)

2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806

(562) 933-0713

ALICE T BALDWIN PA

Physician Assistant

2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806

(562) 933-2000

GAIL N CARRUTHERS MD

Emergency Medicine

2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806

(562) 933-2000

SANDRA K CEVERHA NP

Nurse Practitioner

2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806

(562) 933-2000

JOSEPH D DABNEY PA

Physician Assistant

2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806

(562) 933-2000

RAYNARD SEBASTIAN MD

Emergency Medicine

2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806

(562) 933-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487015905, enumerated as an "organization" on March 10, 2016.

The provider is located at 2801 ATLANTIC AVE LONG BEACH, CA 90806 and the phone number is (562) 933-8832.

Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.