Individual provider Active NPI

Brian W. Capeloto, M.D.

  • General Practice Physician
  • Huntington Beach, CA
National Provider Identifier
1669525937
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G68972 Issued in CA
Practice address
9042 Garfield Ave Ste 206
Huntington Beach, CA 92646-2340
Phone
(714) 729-4156
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G68972 CA Primary

Addresses

Primary practice location

9042 Garfield Ave Ste 206
Huntington Beach, CA 92646-2340

Mailing address

9042 Garfield Ave Ste 206
Huntington Beach, CA 92646-2340
Phone (714) 729-4156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G68972CAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1669525937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9042 GARFIELD AVE STE 206",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462340",
            "telephone_number": "714-729-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9042 GARFIELD AVE STE 206",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462340",
            "telephone_number": "714-729-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPELOTO",
        "first_name": "BRIAN",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G68972",
            "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 Nov 17, 2016; 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.