EMSI
NPI 1780930990
Point of Service in Long Beach, CA

Active since July 25, 2012
3640 E 17TH ST, LONG BEACH, CA 90804(562) 209-2861 Get Directions Write a Review

NPPES record last updated: July 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emsi NPPES

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

EMSI (NPI 1780930990) is a healthcare organization registered as a point of service in Long Beach, California and active in the NPI registry since July 2012. The organization lists Lacey Waters, Network Manager, as its authorized official.

NPPES Registry Identity

NPI1780930990
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameCALIFORNIA STATE UNIVERSITY, LONG BEACH
Location Address3640 E 17TH STLong Beach, CA 90804-2001
Mailing Address3640 E 17th StLong Beach, CA 90804-2001
Organization SubpartNo
Authorized OfficialLacey WatersNetwork Manager · (214) 689-8144
Enumeration DateJuly 25, 2012
NPI 1780930990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Licenses Licensed in CA · NP9998 Licensed in CA · 436601
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
3640 E 17TH ST, Long Beach, CA 90804

Other Names 1

Other NameEmsi

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Acute Care)
3640 E 17TH ST
LONG BEACH, CA 90804

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 California State University, Long Beach's NPI number?

The NPI number for California State University, Long Beach is 1780930990. It was assigned to this organization in the NPPES registry on July 25, 2012. The provider is also known as Emsi.

Where is California State University, Long Beach located?

California State University, Long Beach is located at 3640 E 17th St, Long Beach, CA 90804. The listed phone number is (562) 209-2861.

What is California State University, Long Beach's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for California State University, Long Beach was last updated on July 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.