Active NPI
The Huntington Medical Foundation
- Internal Medicine Physician
- Pasadena, CA
National Provider Identifier
1639225048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- THE HUNTINGTON MEDICAL FOUNDATION
- Practice address
- 65 N Madison Ave
Suite 800
Pasadena, CA 91101-2035 - Phone
- (626) 792-3141
- Fax
- (626) 792-9193
- NPI assigned
- Jan 26, 2007
- Last updated
- Dec 19, 2022
- Organization subpart
- No
NPPES NPI Registry
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X |
Addresses
Primary practice location
65 N Madison Ave
Suite 800
Pasadena, CA 91101-2035
Mailing address
100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 397-8335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040923000968 | CA | Part B Supplier - Clinic/Group Practice | 4587631601 |
Receives reassigned benefits from 210 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pasadena, CA; San Marino, CA; San Diego, CA; Riverside, CA; La Canada, CA; La Canada Flintridge, CA; Los Angeles, CA; Arcadia, CA… |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Huntington Health Physicians
- Internal Medicine Physician
- Pasadena, CA
- NPI 1154467181
O20040923000968
-
- Internal Medicine Physician
- San Marino, CA
- NPI 1417003831
O20040923000968
-
- Internal Medicine Physician
- Pasadena, CA
- NPI 1780730192
O20040923000968
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0555907 | Huntington Medical Foundation | Certificate of waiver | Aug 31, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671408000000",
"number": "1639225048",
"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": "65 N MADISON AVE",
"address_2": "SUITE 800",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012035",
"telephone_number": "626-792-3141",
"fax_number": "626-792-9193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE HUNTINGTON MEDICAL FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-26",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"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": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
- The Hill Medical Corporation
- The Hill Medical Corporation
- The Hill Medical Corporation
- The Hospice Company, Inc.
- The Huntington Medical Foundation (Huntington Health Physicians)
- The Huntington Medical Foundation
- The Integrative Depth Psychology Institute, Inc.
- The Jones Psychology Group, Inc.
- The Leela Integrative Medicine Center, Inc
- The Sensory Brain
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.