Active NPI
Connie P Bartlett, D.O.
- Pediatrics Physician
- Huntington Beach, CA
National Provider Identifier
1669561858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20A6599
- Practice address
- 17742 Beach Blvd Ste 240
Huntington Beach, CA 92647-6835 - Phone
- (714) 842-0444
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20A6599 | CA | Primary |
Addresses
Primary practice location
17742 Beach Blvd Ste 240
Huntington Beach, CA 92647-6835
Mailing address
24422 Avenida de la Carlota Ste 300
Laguna Hills, CA 92653-3628
Phone (949) 599-2434
Other practice location 1
1201 W La Veta Ave
700
Orange, CA 92868-4213
Phone (714) 288-3230
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbartlett1373697@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A6599 | CA | MD | Pediatrics Physician |
| 6599 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Institute | Pediatrics | Past | Accepting new patients |
| Coastal Kids, a Professional Medical Corporation | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- cbartlett1373697@oc.providencedirect.org
Organizations & group practices 2
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.
-
dba Coastal Kids
- Pediatrics Physician
- Newport Beach, CA
- NPI 1740311737
-
dba Providence Little Company of Mary Medical Institute
- Family Medicine Physician
- Torrance, CA
- NPI 1235182569
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1669561858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24422 AVENIDA DE LA CARLOTA STE 300",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533628",
"telephone_number": "949-599-2434",
"fax_number": "949-599-2430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17742 BEACH BLVD STE 240",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926476835",
"telephone_number": "714-842-0444"
}
],
"practiceLocations": [
{
"address_1": "1201 W La Veta Ave",
"address_2": "700",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928684213",
"country_code": "US",
"telephone_number": "714-288-3230",
"fax_number": "714-744-5294",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARTLETT",
"first_name": "CONNIE",
"middle_name": "P",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "20A6599",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cbartlett1373697@oc.providencedirect.org",
"affiliation": "N",
"address_1": "2212 E 4th St Ste 201",
"city": "Santa Ana",
"state": "CA",
"country_code": "US",
"postal_code": "927053872",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.