Individual provider Active NPI

Joseph J Giacopelli, DPM

  • Podiatrist
  • Huntington Beach, CA
National Provider Identifier
1366442204
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E2231 Issued in CA
Practice address
18080 Beach Blvd
Ste 102
Huntington Beach, CA 92648-1342
Phone
(714) 841-5055
Fax
(714) 841-9595
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E2231 CA Primary

Addresses

Primary practice location

18080 Beach Blvd
Ste 102
Huntington Beach, CA 92648-1342

Mailing address

18080 Beach Blvd
Ste 102
Huntington Beach, CA 92648-1342
Phone (714) 841-5055

Other identifiers 1

IdentifierTypeStateIssuer
000E22310MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1366442204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18080 BEACH BLVD",
            "address_2": "STE 102",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481342",
            "telephone_number": "714-841-5055",
            "fax_number": "714-841-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18080 BEACH BLVD",
            "address_2": "STE 102",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481342",
            "telephone_number": "714-841-5055",
            "fax_number": "714-841-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACOPELLI",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E22310",
            "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 Feb 9, 2012; 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.