NPIMap

Organization Active NPI

Huntington Medical Foundation

  • Endocrinology, Diabetes & Metabolism Physician
  • Pasadena, CA
National Provider Identifier
1609950237
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
HUNTINGTON MEDICAL FOUNDATION
Practice address
55 E California Blvd Ste 204
Pasadena, CA 91105-3954
Phone
(626) 397-8335
Fax
(626) 397-8337
NPI assigned
Oct 24, 2006
Last updated
Aug 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Kendra Williams
Title
Director of Revenue Cycle
Phone
(626) 397-8384

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X Primary
Gastroenterology Physician 207RG0100X
Rheumatology Physician 207RR0500X
Pediatrics Physician 208000000X
Pediatric Endocrinology Physician 2080P0205X
Physical Medicine & Rehabilitation Physician 208100000X
Podiatrist 213E00000X

Addresses

Primary practice location

55 E California Blvd Ste 204
Pasadena, CA 91105-3954

Mailing address

100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 397-8335

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0921372Huntington Medical Foundation55 E California Blvd., #204, Pasadena, CA 91105Certificate of waiverOct 17, 2026

National Provider Directory

National Provider Directory
Tax ID family
Huntington Medical FDNT6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 E Huntington Dr
Ste 411
Arcadia, CA 91006

301 W Huntington Dr
#240
Arcadia, CA 91007

301 W Huntington Dr
Ste 320
Arcadia, CA 91007
Phone (626) 446-3516

800 S Santa Anita Ave
Ste 201
Arcadia, CA 91006

133 N Altadena Dr
Fl 2
Pasadena, CA 91107
Phone (626) 397-8335

375 Huntington Dr
San Marino, CA 91108
Phone (626) 441-1159

Practitioners & affiliated clinicians

Practitioners 100

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.

View all 100

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1609950237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053010",
            "telephone_number": "626-397-8335",
            "fax_number": "626-397-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E CALIFORNIA BLVD STE 204",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053954",
            "telephone_number": "626-397-8335",
            "fax_number": "626-397-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "626-397-8384"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.