Active NPI
Jed H Horowitz, MD
- Plastic Surgery Physician
- Huntington Beach, CA
National Provider Identifier
1053494807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- G55515
- Practice address
- 7677 Center Ave
Suite 401
Huntington Beach, CA 92647-3074 - Phone
- (714) 902-1100
- Fax
- (714) 902-1101
- NPI assigned
- Oct 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | G55515 | CA | Primary |
Addresses
Primary practice location
7677 Center Ave
Suite 401
Huntington Beach, CA 92647-3074
Mailing address
7677 Center Avenue
Suite 401
Huntington Beach, CA 92647
Phone (714) 902-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G55515 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larry S Nichter MD & Jed H Horowitz MD | Plastic Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pacific Center for Plastic Surgery
- Plastic Surgery Physician
- Newport Beach, CA
- NPI 1598090052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053494807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7677 CENTER AVENUE",
"address_2": "SUITE 401",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "92647",
"telephone_number": "714-902-1100",
"fax_number": "714-902-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7677 CENTER AVE",
"address_2": "SUITE 401",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473074",
"telephone_number": "714-902-1100",
"fax_number": "714-902-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOROWITZ",
"first_name": "JED",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "G55515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.