Surf City Peds

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

SURF CITY PEDS

Doing business as

pauline pepek, m.d

Practice address

17742 Beach Blvd
Suite 240
Huntington Beach, CA 92647-6818

Phone

(714) 842-0444

Fax

(714) 842-8444

NPI assigned

Nov 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Pauline Liang Pepek, M.D

Title

Owner

Phone

(714) 842-0444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• pauline pepek, m.d Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grace Mari Kasamatsu, M.D.

  • Pediatric Adolescent Medicine Physician
  • Huntington Beach, CA
  • NPI 1548221542
  NPD (past)

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1164723284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17742 BEACH BLVD",
            "address_2": "SUITE 240",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476818",
            "telephone_number": "714-842-0444",
            "fax_number": "714-842-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17742 BEACH BLVD",
            "address_2": "SUITE 240",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476818",
            "telephone_number": "714-842-0444",
            "fax_number": "714-842-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURF CITY PEDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "PEPEK",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "LIANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-842-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427086628",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pauline pepek, m.d",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marvin Louie Sunpongco, PMHNP
• Sunset Beach Concierge Physical Therapy Inc
• Sunset Physical Therapy Corporation
• Supervista North America
• Millie Jay Surati-Tantod, M.D.
• Surf City Podiatry
• Surf City Recovery
• Surf City Recovery
• Surf City Recovery
• Nigal Surfian, ARDMS

• Pediatric Adolescent Medicine Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Pediatric Adolescent Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.