| Community Medical Wellness Centers Usa | |
|
1360 E Anaheim St Suite 101 Long Beach CA 90813-5514 | |
| (562) 270-0324 | |
| (562) 591-0109 |
| Full Name | Community Medical Wellness Centers Usa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1360 E Anaheim St, Long Beach, California |
| Authorized Official Name and Position | Patricia Ramirez (HUMAN RESOURCES DIRECTOR) |
| Authorized Official Contact | 5624856274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Wellness Centers Usa 1360 E Anaheim St Suite 101 Long Beach CA 90813-5514 Ph: (562) 270-0324 | Community Medical Wellness Centers Usa 1360 E Anaheim St Suite 101 Long Beach CA 90813-5514 Ph: (562) 270-0324 |
| NPI Number | 1235500513 |
|---|---|
| Provider Enumeration Date | 10/13/2015 |
| Last Update Date | 04/18/2022 |
| Medicare PECOS PAC ID | 1759665367 |
|---|---|
| Medicare Enrollment ID | O20170227002197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235500513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
| Provider Name | Javier T Quesada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215929880 PECOS PAC ID: 7517952682 Enrollment ID: I20040417000564 |
| Provider Name | John Donald Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801852900 PECOS PAC ID: 8224025135 Enrollment ID: I20050425000423 |
| Provider Name | Cesar A Valle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023126505 PECOS PAC ID: 4082759428 Enrollment ID: I20100309000868 |
| Provider Name | Jeffery Coker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780912899 PECOS PAC ID: 1052442878 Enrollment ID: I20100623000286 |
| Provider Name | Bakheng Pheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083932024 PECOS PAC ID: 2769671668 Enrollment ID: I20110107000442 |
| Provider Name | Van Nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205845237 PECOS PAC ID: 9335190065 Enrollment ID: I20110228000427 |
| Provider Name | Kittya Paigne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225058837 PECOS PAC ID: 9739170341 Enrollment ID: I20120530000104 |
| Provider Name | Analine Almojera- De Leus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841615895 PECOS PAC ID: 6800106808 Enrollment ID: I20151103002121 |
| Provider Name | Sompia Paigne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649416512 PECOS PAC ID: 4284930181 Enrollment ID: I20160315000603 |
| Provider Name | Thuy T Tran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336220151 PECOS PAC ID: 7012287063 Enrollment ID: I20170724003202 |
| Provider Name | Edward Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124558069 PECOS PAC ID: 7315217239 Enrollment ID: I20170725002344 |
| Provider Name | Andrew Chu |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538572243 PECOS PAC ID: 7012283658 Enrollment ID: I20171025003063 |
| Provider Name | Lloyd A Ligayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487721452 PECOS PAC ID: 3779686423 Enrollment ID: I20190612002035 |
| Provider Name | Jasmine Lynn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487158622 PECOS PAC ID: 8224360359 Enrollment ID: I20191023000467 |
| Provider Name | Fragrance Bumatay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609203900 PECOS PAC ID: 6608098959 Enrollment ID: I20200625001246 |
| Provider Name | Lisa Chhin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083223242 PECOS PAC ID: 2466872890 Enrollment ID: I20201022004236 |
| Provider Name | Sokpheap Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124611207 PECOS PAC ID: 4082020383 Enrollment ID: I20210311001555 |
| Provider Name | Jamille Salarda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932790383 PECOS PAC ID: 5092104158 Enrollment ID: I20211110002167 |
| Provider Name | Aaron Ridder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558947903 PECOS PAC ID: 2961943816 Enrollment ID: I20240919001444 |
| Provider Name | Bernadette Joyce Mejia |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528305158 PECOS PAC ID: 1658734728 Enrollment ID: I20241108001073 |
| Provider Name | Jarmaine Kelly Johns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215544804 PECOS PAC ID: 2668907874 Enrollment ID: I20241125003731 |
| Provider Name | Ma Glenda Ravas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770123663 PECOS PAC ID: 1355876459 Enrollment ID: I20241126003825 |
| Provider Name | Pulmer Jack Pulido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578256228 PECOS PAC ID: 0749715753 Enrollment ID: I20241128000083 |
| Provider Name | Mony Chan Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538943113 PECOS PAC ID: 5092243550 Enrollment ID: I20250110002785 |
| Provider Name | Tara Elizabeth Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023766227 PECOS PAC ID: 0648704866 Enrollment ID: I20250117002035 |
| Provider Name | Eliz Danielle Santos |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326653775 PECOS PAC ID: 7416487715 Enrollment ID: I20250214002035 |
| Provider Name | Estela Murillo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326426040 PECOS PAC ID: 8628598174 Enrollment ID: I20250227000664 |
St John Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3530 Long Beach Blvd Ste 120, Long Beach, CA 90807 Phone: 562-989-1200 | |
Bao Quoc Le Md. Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2944 E Anaheim St, Long Beach, CA 90804 Phone: 562-599-5777 Fax: 562-433-2886 | |
Salida Del Sol Cbas, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5350 Atlantic Ave, Long Beach, CA 90805 Phone: 562-269-4355 | |
Prohealth Partners, A Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 E San Antonio Dr, Suite 6, Long Beach, CA 90807 Phone: 562-423-6441 Fax: 562-422-1301 | |
Aids Healthcare Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3500 E Pacific Coast Hwy, Long Beach, CA 90804 Phone: 323-436-5019 Fax: 323-337-9142 | |
Housecall Doctors Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3800 Kilroy Airport Way Ste 270, Long Beach, CA 90806 Phone: 949-366-1053 Fax: 949-916-0387 | |
Faustino Bernadett M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Elm Ave Ste 100, Long Beach, CA 90813 Phone: 562-491-2145 Fax: 562-491-0153 |