Individual provider Active NPI

Connie P Bartlett, D.O.

  • Pediatrics Physician
  • Huntington Beach, CA
National Provider Identifier
1669561858
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20A6599 Issued in CA
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

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A6599CAMDPediatrics Physician
6599CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute Pediatrics PastSince Jun 5, 2019 Accepting new patients
Coastal Kids, a Professional Medical Corporation Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.