Organization Active NPI

Yousef Ireifej MD Inc

  • Family Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1649823444
Registry record updated Jul 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
YOUSEF IREIFEJ MD INC
Practice address
5942 Edinger Ave Ste 113-165
Huntington Beach, CA 92649-1763
Phone
(714) 642-4687
NPI assigned
Jul 20, 2019
Last updated
Jul 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2019

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

Authorized official

Name
Duffy Nicholls
Title
Billing Manager
Phone
(360) 790-2263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5942 Edinger Ave Ste 113-165
Huntington Beach, CA 92649-1763

Mailing address

5942 Edinger Ave Ste 113-165
Huntington Beach, CA 92649-1763
Phone (714) 642-4687

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190829000901 CA Part B Supplier - Clinic/Group Practice 7911235999 Receives reassigned benefits from 1 practitioner
Practice locations: Anaheim, CA; Westminster, CA; Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

5942 Edinger Ave
Ste 113165
Huntington Beach, CA 92649
Phone (714) 642-4687

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1563580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563580800000",
    "number": "1649823444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5942 EDINGER AVE STE 113-165",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491763",
            "telephone_number": "714-642-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5942 EDINGER AVE STE 113-165",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491763",
            "telephone_number": "714-642-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUSEF IREIFEJ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-20",
        "last_updated": "2019-07-20",
        "status": "A",
        "authorized_official_last_name": "NICHOLLS",
        "authorized_official_first_name": "DUFFY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "360-790-2263"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; 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.