CENTINELA MEDICAL CENTER OF SOUTH BAY INC.
NPI 1912219635
Clinic/Center - Multi-Specialty in Long Beach, CA

Active since July 10, 2010
1125 CHERRY AVE, LONG BEACH, CA 90813(562) 591-1111 Get Directions Write a Review

NPPES record last updated: March 31, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Centinela Medical Center Of South Bay Inc. NPPES

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

CENTINELA MEDICAL CENTER OF SOUTH BAY INC. (NPI 1912219635) is a healthcare organization registered as a multi-specialty in Long Beach, California and active in the NPI registry since July 2010. The organization lists Jerry A. Okonkwoaguolu, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1912219635
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCENTINELA MEDICAL CENTER OF SOUTH BAY INC.
Location Address1125 CHERRY AVELong Beach, CA 90813-3911
Mailing AddressPo Box 1405Lawndale, CA 90260-6305 · (562) 591-1111
Organization SubpartNo
Authorized OfficialJerry A. OkonkwoaguoluMedical Director · (562) 591-1111
Enumeration DateJuly 10, 2010
Last NPPES UpdateMarch 31, 2014
NPI 1912219635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License Licensed in CA · FNP40289
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License FNP40289 (CA)
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X · License FNP40289 (CA)
1125 CHERRY AVE, Long Beach, CA 90813

Other Providers at the Same Location NPPES 3

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

Family Medicine
1125 CHERRY AVE
LONG BEACH, CA 90813
Clinic/Center (Community Health)
1125 CHERRY AVE, SUITE A
LONG BEACH, CA 90813
Clinic/Center (Multi-Specialty)
1125 CHERRY AVE
LONG BEACH, CA 90813

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 Centinela Medical Center Of South Bay Inc.'s NPI number?

The NPI number for Centinela Medical Center Of South Bay Inc. is 1912219635. It was assigned to this organization in the NPPES registry on July 10, 2010.

Where is Centinela Medical Center Of South Bay Inc. located?

Centinela Medical Center Of South Bay Inc. is located at 1125 Cherry Ave, Long Beach, CA 90813. The listed phone number is (562) 591-1111.

What is Centinela Medical Center Of South Bay Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Centinela Medical Center Of South Bay Inc. was last updated on March 31, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.