California State University, Long Beach
NPI 1780930990 · Point of Service · Long Beach, CA
California State University, Long Beach is a Point of Service organization in Long Beach, CA (NPI 1780930990).
Provider details
- NPI number
- 1780930990
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Lacey Waters, Network Manager(214) 689-8144
- License
- 436601 (CA)
Specialties & taxonomies
Managed Care Organizations
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Emsi
Registry dates
- Enumerated
- 2012-07-25
- Last updated
- 2012-07-25
Frequently asked questions
- What is California State University, Long Beach's NPI number?
- California State University, Long Beach's National Provider Identifier (NPI) is 1780930990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is California State University, Long Beach?
- California State University, Long Beach is classified in the NPPES registry as Point of Service (Managed Care Organizations).
- Where is California State University, Long Beach located?
- California State University, Long Beach's practice location on file with NPPES is 3640 E 17th St, Long Beach, CA 90804-2001.
- What is California State University, Long Beach's phone number?
- The practice phone number listed in the NPPES registry for California State University, Long Beach is (562) 209-2861.
- Who is the authorized official for California State University, Long Beach?
- The authorized official listed on California State University, Long Beach's NPPES record is Lacey Waters, Network Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is California State University, Long Beach's NPI active?
- Yes — California State University, Long Beach's NPI (1780930990) is active in the NPPES registry as of the last update on 2012-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.