Huntington Beach Surgery

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A40737 Issued in CA

Legal business name

HUNTINGTON BEACH SURGERY

Practice address

12828 Baywind PT
San Diego, CA 92130-2796

Phone

(714) 376-9236

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Donel Elshire III, MD

Title

Ceo

Phone

(714) 376-9236

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316012339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12828 BAYWIND PT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302796",
            "telephone_number": "714-376-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12828 BAYWIND PT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302796",
            "telephone_number": "714-376-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON BEACH SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELSHIRE",
        "authorized_official_first_name": "DONEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-376-9236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A40737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Adams Hunter, RN
• Shannon Hunter
• Wendy Jean Hunter, PH.D.
• Wendy Lee Meredith Hunter, M.D.
• Deanne Hunthausen, RN
• Huntley Pain Specialists
• Huntley Pain Specialists a Medical Corporation
• Jennifer L. Huntley, DO
• Michael J Huntley, MD
• Danielle Huntsman

• Vascular Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.