Individual provider Active NPI

Meir Ben-Shoshan, M.D.

  • Family Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1144546037
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AFE24635 Issued in CA
Practice address
17099 Edgewater LN
Huntington Beach, CA 92649-4207
Phone
(714) 846-0412
NPI assigned
Apr 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AFE24635 CA Primary

Addresses

Primary practice location

17099 Edgewater LN
Huntington Beach, CA 92649-4207

Mailing address

17099 Edgewater LN
Huntington Beach, CA 92649-4207
Phone (714) 846-0412

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AFE24635CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1144546037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17099 EDGEWATER LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494207",
            "telephone_number": "714-846-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17099 EDGEWATER LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494207",
            "telephone_number": "714-846-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEN-SHOSHAN",
        "first_name": "MEIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "AFE24635",
            "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 Apr 16, 2010; 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.