Richard Peprah, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

A173173 Issued in CA

Practice address

18800 Main St Ste 204
Huntington Beach, CA 92648-1718

Phone

(949) 432-0918

Fax

(949) 209-2001

NPI assigned

Apr 15, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Coast Behavioral Health

  • Substance Abuse Rehabilitation Facility
  • Irvine, CA
  • NPI 1578051710
  NPD (past)

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1659790848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 MAIN ST STE 204",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481718",
            "telephone_number": "949-432-0918",
            "fax_number": "949-209-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 MAIN ST STE 204",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481718",
            "telephone_number": "949-432-0918",
            "fax_number": "949-209-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 University Dr",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926603319",
            "country_code": "US",
            "telephone_number": "949-662-2144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Banyan Tree",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926122231",
            "country_code": "US",
            "telephone_number": "949-877-1821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5302 Kenilworth Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926494527",
            "country_code": "US",
            "telephone_number": "949-991-2434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEPRAH",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A173173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction Medicine (Family Medicine) Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Addiction Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.