Organization Active NPI

Huntington Urology Specialists, Inc.

  • Urology Physician
  • Pasadena, CA
National Provider Identifier
1649709189
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
HUNTINGTON UROLOGY SPECIALISTS, INC.
Practice address
800 Fairmount Ave Ste 412
Pasadena, CA 91105-3154
Phone
(626) 486-0184
Fax
(626) 486-0217
NPI assigned
Jun 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Marsha June Childers
Title
Administrator
Phone
(310) 650-3353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

800 Fairmount Ave Ste 412
Pasadena, CA 91105-3154

Mailing address

800 S. Fairmount Ave Ste 412
Pasadena, CA 91105-3154
Phone (626) 486-0184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201211000647 CA Part B Supplier - Clinic/Group Practice 9739591900 Receives reassigned benefits from 3 practitioners
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

800 Fairmount Ave
Ste 412
Pasadena, CA 91105
Phone (626) 486-0184

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHIDBA

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649709189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S. FAIRMOUNT AVE STE 412",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053154",
            "telephone_number": "626-486-0184",
            "fax_number": "626-486-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FAIRMOUNT AVE STE 412",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053154",
            "telephone_number": "626-486-0184",
            "fax_number": "626-486-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON UROLOGY SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-650-3353",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.