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ST. MARY MEDICAL CENTER C.A.R.E. PROGRAM
NPI 1619092046
Clinic/Center in Long Beach, CA

Active since March 21, 2007
1043 ELM AVE, LONG BEACH, CA 90813(562) 624-4900(562) 491-9128 Get Directions Write a Review

NPPES record last updated: September 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Mary Medical Center C.a.r.e. Program NPPES

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

ST. MARY MEDICAL CENTER C.A.R.E. PROGRAM (NPI 1619092046) is a healthcare organization registered as a clinic/center in Long Beach, California and active in the NPI registry since March 2007. The organization lists Rachel Smith, Chief Financial Officer (interim), as its authorized official.

NPPES Registry Identity

NPI1619092046
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDIGNITY HEALTH
Location Address1043 ELM AVELong Beach, CA 90813-3271
Mailing Address1043 Elm Ave, Suite 300Long Beach, CA 90813-3271 · (562) 624-4906 · Fax (562) 624-4960
Phone(562) 624-4900
Fax(562) 491-9128
Organization SubpartYes
Authorized OfficialRachel SmithChief Financial Officer (interim) · (562) 491-9929
Enumeration DateMarch 21, 2007
Last NPPES UpdateSeptember 23, 2013
✔ NPI 1619092046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · 930000012
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).
1043 ELM AVE, Long Beach, CA 90813
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Other Names 1

Doing Business AsSt. Mary Medical Center C.a.r.e. Program

Other Identifiers 6

Other0022013Aetna
Other870692255CA · Irs
MedicaidZZT40191HCA
Medicare OSCAR/certification050191CA
OtherZZZA0191ZCA · Blue Shield
MedicaidAYD000290CA

Other Providers at the Same Location NPPES 16

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

DR. THOMAS CHARLES GATES MD
Radiology (Radiation Oncology)
1043 ELM AVE
LONG BEACH, CA 90813
Los Angeles County (951) 691-5123
STEFAN SCHNEIDER MD
Internal Medicine (Infectious Disease)
1043 ELM AVE, SUITE 300
LONG BEACH, CA 90813
Los Angeles County (562) 624-4999
DR. SASSAN FARJAMI M.D.
Internal Medicine (Hematology & Oncology)
1043 ELM AVE, STE 104
LONG BEACH, CA 90813
Los Angeles County (562) 590-0345
DR. FRANCISCA MATA MD
Family Medicine
1043 ELM AVE
LONG BEACH, CA 90813
Los Angeles County (562) 432-5122
ST. MARYS RADIATION ONCOLOGY MEDICAL GROUP
Clinic/Center (Oncology, Radiation)
1043 ELM AVE, SUITE 110
LONG BEACH, CA 90813
Los Angeles County (909) 263-0321
CITY OF HOPE MEDICAL FOUNDATION
Internal Medicine (Hematology & Oncology)
1043 ELM AVE, STE 104
LONG BEACH, CA 90813
Los Angeles County (562) 590-0345
JEROME DE VENTE MD
Internal Medicine (Infectious Disease)
1043 ELM AVE, SUITE 300
LONG BEACH, CA 90813
Los Angeles County (562) 624-4999
SUSAN SUZUKI WELLBORN NURSE PRACTITIONER
Nurse Practitioner (Family)
1043 ELM AVE, SUITE 300
LONG BEACH, CA 90813
Los Angeles County (562) 624-4908

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 Dignity Health's NPI number?

The NPI number for Dignity Health is 1619092046. It was assigned to this organization in the NPPES registry on March 21, 2007. The provider is doing business as St. Mary Medical Center C.A.R.E. Program.

Where is Dignity Health located?

Dignity Health is located at 1043 Elm Ave, Long Beach, CA 90813. The listed phone number is (562) 624-4900.

What is Dignity Health's specialty?

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

When was this NPI record last updated?

The NPPES record for Dignity Health was last updated on September 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.