Individual provider Active NPI

Amal B. Tanagho, M.D.

  • Specialist
  • Huntington Beach, CA
National Provider Identifier
1154538023
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C51476 Issued in CA
Practice address
18672 Florida St Ste 201C
Huntington Beach, CA 92648-6088
Phone
(714) 916-0499
Fax
(714) 916-0504
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C51476 CA Primary

Addresses

Primary practice location

18672 Florida St Ste 201C
Huntington Beach, CA 92648-6088

Mailing address

18672 Florida St Ste 201C
Huntington Beach, CA 92648-6088
Phone (714) 916-0499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 25, 2018 through Oct 25, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Amal Tanagho Psychiatric Services, Inc. CurrentSince Jun 2, 2011 Accepting new patients
Nuvance Health Medical Practice CT, Inc. Past Accepting new patients
Nayana Shah M.D. Inc. PastSince May 12, 2014 Accepting new patients
Southern CT Christian Network Past Accepting new patients

Locations

16872 Bolsa Chica St
Ste 201
Huntington Beach, CA 92649
Phone (714) 841-6772

18672 Florida St
Ste 201C
Huntington Beach, CA 92648
Phone (714) 916-0499

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1154538023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18672 FLORIDA ST STE 201C",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486088",
            "telephone_number": "714-916-0499",
            "fax_number": "714-916-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18672 FLORIDA ST STE 201C",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486088",
            "telephone_number": "714-916-0499",
            "fax_number": "714-916-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANAGHO",
        "first_name": "AMAL",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C51476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.