NPIMap

Organization Active NPI

Huntington Beach Family Medicine, Inc

  • Primary Care Clinic/Center
  • Huntington Beach, CA
National Provider Identifier
1497167696
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A115473 Issued in CA
Legal business name
HUNTINGTON BEACH FAMILY MEDICINE, INC
Practice address
19400 Beach Blvd
#11
Huntington Beach, CA 92648-2500
Phone
(714) 968-1222
Fax
(714) 968-1777
NPI assigned
May 22, 2014
Last updated
Oct 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Dr. Natasha G Thomas, MDNPI 1528268802
Title
Owner
Phone
(714) 968-1222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A115473 CA Primary

Addresses

Primary practice location

19400 Beach Blvd
#11
Huntington Beach, CA 92648-2500

Mailing address

19400 Beach Blvd
#11
Huntington Beach, CA 92648-2500
Phone (714) 968-1222

National Provider Directory

National Provider Directory

Locations

17882 BCH Blvd Ste 100
Huntington Beach, CA 92647

19400 Beach Blvd
Ste 11
Huntington Beach, CA 92648
Phone (714) 968-1222

19400 Beach Blvd
Ste 12
Huntington Beach, CA 92648

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1497167696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19400 BEACH BLVD",
            "address_2": "#11",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482500",
            "telephone_number": "714-968-1222",
            "fax_number": "714-968-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19400 BEACH BLVD",
            "address_2": "#11",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482500",
            "telephone_number": "714-968-1222",
            "fax_number": "714-968-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON BEACH FAMILY MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-968-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A115473",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 28, 2014; 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.