Huntington Beach Family Medicine, Inc

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

Organization subpart

No

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

Authorized official

Name

Dr. Natasha G Thomas, MD

Title

Owner

Phone

(714) 968-1222

Specialties & licenses 1

Addresses

Locations

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": []
}

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• 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 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.