Organization Active NPI

Richard B Mantell MD Inc

  • Dermatology Physician
  • Huntington Beach, CA
National Provider Identifier
1093139792
Registry record updated Feb 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
RICHARD B MANTELL MD INC
Practice address
17822 Beach Blvd
Suite 301
Huntington Beach, CA 92647-7101
Phone
(714) 794-6981
NPI assigned
Feb 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard B Mantell, MD
Title
President
Phone
(714) 794-6981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

17822 Beach Blvd
Suite 301
Huntington Beach, CA 92647-7101

Mailing address

17822 Beach Blvd
Suite 301
Huntington Beach, CA 92647-7101
Phone (714) 794-6981

National Provider Directory

National Provider Directory

Locations

17822 Beach Blvd
Ste 301
Huntington Beach, CA 92647
Phone (714) 545-7311

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392508800000",
    "number": "1093139792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD",
            "address_2": "SUITE 301",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477101",
            "telephone_number": "714-794-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD",
            "address_2": "SUITE 301",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477101",
            "telephone_number": "714-794-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD B MANTELL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-16",
        "last_updated": "2014-02-16",
        "status": "A",
        "authorized_official_last_name": "MANTELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-794-6981",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "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 Feb 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.