Active NPI
Srinivasa Murthy
- Pediatrics Physician
- Huntington Beach, CA
National Provider Identifier
1740646934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A25972
- Practice address
- 8851 Baywood Drive
Huntington Beach, CA 92646 - Phone
- (714) 968-1549
- Fax
- (888) 321-5957
- NPI assigned
- Jan 5, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | A25972 | CA | Primary |
Addresses
Primary practice location
8851 Baywood Drive
Huntington Beach, CA 92646
Mailing address
8851 Baywood Drive
Huntington Beach, CA 92646
Phone (714) 968-1549
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A25972 | Other | CA | CA MED LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A25972 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1740646934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8851 BAYWOOD DRIVE",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "92646",
"telephone_number": "714-968-1549",
"fax_number": "888-321-5957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8851 BAYWOOD DRIVE",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "92646",
"telephone_number": "714-968-1549",
"fax_number": "888-321-5957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURTHY",
"first_name": "SRINIVASA",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-05",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A25972",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA MED LICENSE",
"identifier": "A25972",
"state": "CA"
}
],
"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 Jan 5, 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.