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California State University, Long Beach

Point of Service in Long Beach, CA · enumerated 2012 · authorized official Lacey Waters, Network Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780930990

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Registry record

Entity type Organization (Type 2)
Legal business name California State University, Long Beach
Other name <Unavail>
Practice address 3640 E 17th St, Long Beach, CA, 90804
Phone (562) 209-2861
Enumeration date Jul 25, 2012
Last updated in NPPES Jul 25, 2012

Taxonomy & classification

305S00000X Point of Service Managed Care Organizations · License 436601 (CA) Secondary
305S00000X Point of Service Managed Care Organizations · License NP9998 (CA) Primary

Authorized official

Name Lacey Waters
Title Network Manager
Phone (214) 689-8144

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for California State University, Long Beach?
The NPI for California State University, Long Beach is 1780930990, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for California State University, Long Beach?
NPPES lists Lacey Waters (Network Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-07-25.