Individual provider Active NPI

Josette Renee Taglieri, D.O.

  • Family Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1497710842
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A5258 Issued in CA
Practice address
18800 Main St
104
Huntington Beach, CA 92648-1707
Phone
(714) 841-1963
Fax
(714) 841-6919
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A5258 CA Primary

Addresses

Primary practice location

18800 Main St
104
Huntington Beach, CA 92648-1707

Mailing address

18800 Main St
104
Huntington Beach, CA 92648-1707
Phone (714) 841-1963

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
I20110104000157 CA Practitioner - Family Practice 3971791161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pacific Medical College, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personalcare Physicians of Newport Beach IncGroup PAC ID 4587092663, 3 clinicians

Practice addresses (Care Compare)

2121 E Coast Hwy
Suite 250
Corona del Mar, CA 92625-1932
Phone (949) 706-3300

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5258CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Personalcare Physicians of Newport Beach Inc Family Medicine CurrentSince Jan 1, 2021 Accepting new patients

Locations

2121 E Coast Hwy
Ste 250
Corona del Mar, CA 92625
Phone (949) 706-3300

500 Superior Ave
Ste 100
Newport Beach, CA 92663
Phone (949) 706-3300

17 Corporate Plaza Dr
Ste 110
Newport Beach, CA 92660
Phone (949) 404-4444

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 1

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1497710842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 MAIN ST",
            "address_2": "104",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481707",
            "telephone_number": "714-841-1963",
            "fax_number": "714-841-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 MAIN ST",
            "address_2": "104",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481707",
            "telephone_number": "714-841-1963",
            "fax_number": "714-841-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGLIERI",
        "first_name": "JOSETTE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.