Individual provider Active NPI

Arnold J Brender, MD

  • General Practice Physician
  • Huntington Beach, CA
National Provider Identifier
1396732053
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G49205 Issued in CA
Practice address
17742 Beach Blvd
Ste 215
Huntington Beach, CA 92647-6818
Phone
(714) 848-1655
Fax
(714) 847-4348
NPI assigned
Sep 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G49205 CA Primary

Addresses

Primary practice location

17742 Beach Blvd
Ste 215
Huntington Beach, CA 92647-6818

Mailing address

17742 Beach Blvd
Ste 215
Huntington Beach, CA 92647-6818
Phone (714) 848-1655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040313000774 CA Practitioner - General Practice 6800784729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
New York Medical College, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beach Physicians Medical Group IncGroup PAC ID 9133017049, 4 clinicians

Practice addresses (Care Compare)

17742 Beach Blvd
Suite 215
Huntington Beach, CA 92647-6800
Phone 7148481655101

Hospital & facility affiliations

  • Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions19
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G49205CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Physicians Medical Group Inc General Practice CurrentSince Sep 18, 2002 Accepting new patients

Locations

17742 Beach Blvd
Ste 215
Huntington Beach, CA 92647
Phone (714) 848-1655

Interoperability endpoints

  • Direct secure messaging: arnold.brender.p84@direct.nautilus.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1396732053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17742 BEACH BLVD",
            "address_2": "STE 215",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476818",
            "telephone_number": "714-848-1655",
            "fax_number": "714-847-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17742 BEACH BLVD",
            "address_2": "STE 215",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476818",
            "telephone_number": "714-848-1655",
            "fax_number": "714-847-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENDER",
        "first_name": "ARNOLD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-28",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G49205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.