Active NPI
Huntington Urology Specialists, Inc.
- Urology Physician
- Pasadena, CA
National Provider Identifier
1649709189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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
National Provider Directory
National Provider DirectoryLocations
800 Fairmount Ave
Ste 412
Pasadena, CA 91105
Phone (626) 486-0184
Interoperability endpoints
- 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.
-
- Urology Physician
- Alhambra, CA
- NPI 1568542389
-
- Urology Physician
- Pasadena, CA
- NPI 1689784449
-
- Urology Physician
- Pasadena, CA
- NPI 1528590536
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
- Huntington Reproductive Center Medical Group
- Huntington Reproductive Center Medical Group, a Medical Corporation
- Huntington Specialty Surgery LLC
- Huntington Surgical Excellence
- Huntington Trauma Surgery Med Group, Inc
- Cassandra Hurlbut
- Kenneth Euguene Hurley
- Charmaine Hurst
- Cara Lynn Hurt
- Alejandro Hurtado, D.D.S.
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.