California State University Long Beach
NPI 1861824518ActiveOrganization· Physical Therapist· Long Beach, CA
Physical Therapist in Long Beach, California, registered in NPPES in August 2013, part of California State University Long Beach. The authorized official on file is James Buenaventura, Director. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1861824518 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | California State University Long Beach |
| NPI issued | Aug 5, 2013 |
| Last updated in NPPES | Apr 9, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (CA) |
|---|
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