Active NPI
Richard a Enns MD Inc
- Family Medicine Physician
- Huntington Beach, CA
National Provider Identifier
1154492213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A29327
- Legal business name
- RICHARD A ENNS MD INC
- Practice address
- 7677 Center Ave
Suite 100
Huntington Beach, CA 92647-3074 - Phone
- (714) 891-1731
- Fax
- (714) 891-0129
- NPI assigned
- Nov 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Allen Enns, M.D.
- Title
- President
- Phone
- (714) 891-1731
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A29327 | CA | Primary |
Addresses
Primary practice location
7677 Center Ave
Suite 100
Huntington Beach, CA 92647-3074
Mailing address
7677 Center Ave
Suite 100
Huntington Beach, CA 92647-3074
Phone (714) 891-1731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A293270 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
7677 Center Ave
Ste 100
Huntington Beach, CA 92647
Phone (714) 891-1731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282176000000",
"number": "1154492213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7677 CENTER AVE",
"address_2": "SUITE 100",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473074",
"telephone_number": "714-891-1731",
"fax_number": "714-891-0129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7677 CENTER AVE",
"address_2": "SUITE 100",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473074",
"telephone_number": "714-891-1731",
"fax_number": "714-891-0129"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD A ENNS MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-12",
"last_updated": "2010-08-19",
"status": "A",
"authorized_official_last_name": "ENNS",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-891-1731",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A29327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A293270",
"state": "CA"
}
],
"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 Aug 19, 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.