Primary Care Specialists, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

FNP21643 Issued in CA

Legal business name

PRIMARY CARE SPECIALISTS, INC

Practice address

9131 Adams Ave
Huntington Beach, CA 92646-3403

Phone

(714) 968-7800

NPI assigned

Mar 6, 2007

Last updated

Aug 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael M Khatibi, MDNPI 1770693905

Title

Medical Director

Phone

(714) 968-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael M Khatibi, M.D.

  • Internal Medicine Physician
  • Huntington Beach, CA
  • NPI 1770693905
  Authorized official Same address or phone

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1194855486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463403",
            "telephone_number": "714-968-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463403",
            "telephone_number": "714-968-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "KHATIBI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-968-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "FNP21643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A484581",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric C Preszler, P.T.
• Catelyn Tayler Price, OD
• Megan Price, BCBA
• Michael Richard Priesing, MHW CATC
• Erika Prieto
• Primary Choice MD Inc
• Prime Healthcare Huntington Beach LLC (Huntington Beach Hospital)
• Prime Healthcare Huntington Beach, LLC
• Courtney Jewel Primm
• Jerry Julian Jerome Primm, CADC I

• Primary Care Clinic/Center in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.