Organization Active NPI

Deirdre a. Habermehl, M.D., Inc.

  • Obstetrics & Gynecology Physician
  • Huntington Beach, CA
National Provider Identifier
1801922448
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G60299 Issued in CA
Legal business name
DEIRDRE A. HABERMEHL, M.D., INC.
Practice address
18800 Main St Ste 204
Huntington Beach, CA 92648-1718
Phone
(949) 548-6376
Fax
(866) 677-2855
NPI assigned
Feb 26, 2007
Last updated
Aug 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Authorized official

Name
Deirdre Allison Habermehl, M.D.NPI 1023065570
Title
Owner/President
Phone
(949) 548-6376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 61-1153 CA
Obstetrics & Gynecology Physician 207V00000X G060299 CA
Obstetrics & Gynecology Physician 207V00000X G60299 CA Primary

Addresses

Primary practice location

18800 Main St Ste 204
Huntington Beach, CA 92648-1718

Mailing address

18800 Main St Ste 204
Huntington Beach, CA 92648-1718
Phone (949) 548-6376

National Provider Directory

National Provider Directory
Tax ID family
Deirdre a Habermehl MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18800 Main St
Ste 204
Huntington Beach, CA 92648
Phone (949) 548-6376

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1801922448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 MAIN ST STE 204",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481718",
            "telephone_number": "949-548-6376",
            "fax_number": "866-677-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 MAIN ST STE 204",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481718",
            "telephone_number": "949-548-6376",
            "fax_number": "866-677-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEIRDRE A. HABERMEHL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "HABERMEHL",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "949-548-6376",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "61-1153",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G060299",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G60299",
            "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 Aug 13, 2018; 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.