CENTINELA MEDICAL CENTER OF SOUTH BAY INC.
NPI 1912219635
Clinic/Center - Multi-Specialty in Long Beach, CA
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
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Centinela Medical Center Of South Bay Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Centinela Medical Center Of South Bay Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Centinela Medical Center Of South Bay Inc. enrolled in Medicare?
Yes. Centinela Medical Center Of South Bay Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centinela Medical Center Of South Bay Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Centinela Medical Center Of South Bay Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 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.
# Centinela Medical Center Of South Bay Inc. · NPI 1912219635
Multi-Specialty organization in Long Beach, California. Organization record, active in the CMS NPPES registry since July 10, 2010.
## Identity
- **NPI:** 1912219635 (Entity type: Organization)
- **Enumerated:** July 10, 2010
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Jerry Okonkwoaguolu, MEDICAL DIRECTOR
## Practice location
- **Address:** 1125 CHERRY AVE, Long Beach, CA 90813-3911
- **Phone:** (562) 591-1111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1912219635) · Data from the CMS NPPES public registry.