Active NPI
Richard Allen Enns, M.D.
- Family Medicine Physician
- Huntington Beach, CA
National Provider Identifier
1891866950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A29327
- Practice address
- 7677 Center Ave
Suite 100
Huntington Beach, CA 92647-3074 - Phone
- (714) 891-1731
- Fax
- (714) 891-0129
- NPI assigned
- Nov 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A29327 | CA | Primary |
Addresses
Primary practice location
7677 Center Ave
Suite 100
Huntington Beach, CA 92647-3074
Mailing address
7677 Center Ave
Suite 100
Huntington Beach, CA 92647-3074
Phone (714) 891-1731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A293270 | Medicaid | CA |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Park Medical Group, Inc | Family Medicine | Past | Accepting new patients |
| Long Beach Memorial Medical | Past | Accepting new patients | |
| Los Alamitos Medical Center, Inc. | Past | Accepting new patients | |
| Orange Coast Memorial Medical Center | Past | Accepting new patients |
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891866950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7677 CENTER AVE",
"address_2": "SUITE 100",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473074",
"telephone_number": "714-891-1731",
"fax_number": "714-891-0129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7677 CENTER AVE",
"address_2": "SUITE 100",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473074",
"telephone_number": "714-891-1731",
"fax_number": "714-891-0129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENNS",
"first_name": "RICHARD",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A29327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A293270",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.