Organization Active NPI

Urology Center of Orange County

  • Urology Physician
  • Huntington Beach, CA
National Provider Identifier
1891303400
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGY CENTER OF ORANGE COUNTY
Practice address
18800 Delaware St Ste 750
Huntington Beach, CA 92648-6094
Phone
(714) 546-1121
Fax
(714) 546-0428
NPI assigned
Jul 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Dr. Khaled Fareed, MDNPI 1487671368
Title
Ceo
Phone
(714) 546-1121

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

18800 Delaware St Ste 750
Huntington Beach, CA 92648-6094

Mailing address

18800 Delaware St Ste 750
Huntington Beach, CA 92648-6094
Phone (714) 546-1121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200908000732 CA Part B Supplier - Clinic/Group Practice 2668899659 Receives reassigned benefits from 1 practitioner
Practice locations: Westminster, CA; Santa Ana, CA; Huntington Beach, CA; Fountain Valley, CA; Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

11160 Warner Ave
Ste 206
Fountain Valley, CA 92708

11160 Warner Ave
Ste 401
Fountain Vly, CA 92708
Phone (714) 546-1121

11160 Warner Ave
#206
Fountain Vly, CA 92708

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1891303400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 DELAWARE ST STE 750",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486094",
            "telephone_number": "714-546-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 DELAWARE ST STE 750",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486094",
            "telephone_number": "714-546-1121",
            "fax_number": "714-546-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CENTER OF ORANGE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "FAREED",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-546-1121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.