NPIMap

Organization Active NPI

Huntington Reproductive Center Medical Group, a Medical Corporation

  • Clinical Medical Laboratory
  • Fullerton, CA
National Provider Identifier
1659646602
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLM334937 Issued in CA
Legal business name
HUNTINGTON REPRODUCTIVE CENTER MEDICAL GROUP, A MEDICAL CORPORATION
Practice address
1950 Sunnycrest Dr
Suite 2400
Fullerton, CA 92835-3638
Phone
(714) 738-4200
NPI assigned
Mar 8, 2012
Organization subpart
Yes
Parent organization
HUNTINGTON REPRODUCTIVE MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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

Authorized official

Name
Bradford A Kolb, M.D.
Title
President & Shareholder
Phone
(626) 440-6191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLM334937 CA Primary

Addresses

Primary practice location

1950 Sunnycrest Dr
Suite 2400
Fullerton, CA 92835-3638

Mailing address

1950 Sunnycrest Dr
Suite 2400
Fullerton, CA 92835-3638
Phone (714) 738-4200

Other names 1

  • HRC Fertility Doing business as

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
05D1062683Huntington Reproductive Center Medical Group,1950 Sunnycrest Dr, Ste 2400, Fullerton, CA 92835ComplianceJul 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Huntington Reproductive Center Medical Group a Medical Corporation11 organizations share this tax ID, including this one
Part of
Huntington Reproductive Center Medical Group a Medical Corporation

Other organizations with this tax ID 10

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

Locations

1950 Sunny Crest Dr
Ste 2400
Fullerton, CA 92835
Phone (714) 738-4200

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1659646602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SUNNYCREST DR",
            "address_2": "SUITE 2400",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353638",
            "telephone_number": "714-738-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SUNNYCREST DR",
            "address_2": "SUITE 2400",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353638",
            "telephone_number": "714-738-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON REPRODUCTIVE CENTER MEDICAL GROUP, A MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUNTINGTON REPRODUCTIVE MEDICAL GROUP",
        "enumeration_date": "2012-03-08",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "KOLB",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & SHAREHOLDER",
        "authorized_official_telephone_number": "626-440-6191",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLM334937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HRC Fertility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.