EXECUTIVE INTERGRATED MEDICAL GROUP, INC.
EXECUTIVE INTERGRATED MEDICAL GROUP, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1326575812, based in Long Beach, CA. The organization lists 3 taxonomy classifications, with Addiction Psychiatry Physician recorded as primary.
Getting there
The practice address on file is 3605 LONG BEACH BLVD STE 304, Long Beach, CA 90807. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| A109162 | CA | Addiction Psychiatry Physician primary |
| A109162 | CA | Geriatric Psychiatry Physician |
This provider holds licence A109162 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Addiction Psychiatry covers
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. NUCC Health Care Provider Taxonomy, code 2084P0802X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2084P0802X | Addiction Psychiatry Physician Addiction Psychiatry | A109162 | CA | primary |
| 2084P0800X | Psychiatry Physician Psychiatry | — | — | |
| 2084P0805X | Geriatric Psychiatry Physician Geriatric Psychiatry | A109162 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1326575812 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 16, 2017 |
| Last updated | Jul 21, 2022 |
| Status | Active |
| Practice address |
3605 LONG BEACH BLVD STE 304 Long Beach, CA 90807 (310) 559-5916 Fax (310) 559-5466 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 2 | 6 | 5 | 7 | 5 | 8 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 4 | 6 | 1 | 7 | 1 | 8 | 2 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.