Individual provider Active NPI

Esther J Chung-Watanabe, P.A.-C.

  • Medical Physician Assistant
  • Huntington Beach, CA
National Provider Identifier
1720199326
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA13019 Issued in CA
Practice address
17752 Beach Blvd
Suite 203
Huntington Beach, CA 92647-6838
Phone
(714) 841-1040
NPI assigned
Aug 31, 2006
Last updated
Oct 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA13019 CA Primary

Addresses

Primary practice location

17752 Beach Blvd
Suite 203
Huntington Beach, CA 92647-6838

Mailing address

17752 Beach Blvd
Suite 203
Huntington Beach, CA 92647-6838
Phone (714) 841-1040

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13019CAMDFamily Medicine Physician
PA13019CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Front Line Emergency Care Spec Past Accepting new patients
Huntington Beach Medical Group Past Accepting new patients
Pioneer Medical Group Inc. Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255651200000",
    "number": "1720199326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17752 BEACH BLVD",
            "address_2": "SUITE 203",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476838",
            "telephone_number": "714-841-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17752 BEACH BLVD",
            "address_2": "SUITE 203",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476838",
            "telephone_number": "714-841-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG-WATANABE",
        "first_name": "ESTHER",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA13019",
            "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 Oct 16, 2009; 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.