Active NPI
Huntington Beach Internal Medicine Group Inc
- Specialist
- Newport Beach, CA
National Provider Identifier
1902948771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- HUNTINGTON BEACH INTERNAL MEDICINE GROUP INC
- Practice address
- 1501 Superior Ave
#111
Newport Beach, CA 92663-3600 - Phone
- (949) 274-8030
- Fax
- (949) 642-3127
- NPI assigned
- Feb 12, 2007
- Last updated
- Oct 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Terri Leuenberger
- Title
- Office Manager
- Phone
- (714) 842-4492
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1501 Superior Ave
#111
Newport Beach, CA 92663-3600
Mailing address
1501 Superior Ave
#111
Newport Beach, CA 92663-3600
Phone (949) 274-8030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0706644 | Huntington Beach Internal Medicine GRP | Certificate of waiver | Dec 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
17822 Beach Blvd
Ste 473
Huntington Beach, CA 92647
Phone (714) 274-9536
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DIJEAA
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- Newport Beach, CA
- NPI 1760480271
-
- Internal Medicine Physician
- Newport Beach, CA
- NPI 1184620866
-
- Internal Medicine Physician
- Newport Beach, CA
- NPI 1205834819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539648000000",
"number": "1902948771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 SUPERIOR AVE",
"address_2": "#111",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633600",
"telephone_number": "949-274-8030",
"fax_number": "949-642-3127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SUPERIOR AVE",
"address_2": "#111",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633600",
"telephone_number": "949-274-8030",
"fax_number": "949-642-3127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNTINGTON BEACH INTERNAL MEDICINE GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2018-10-16",
"status": "A",
"authorized_official_last_name": "LEUENBERGER",
"authorized_official_first_name": "TERRI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "714-842-4492",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
- Hung V. Ong, MD., Inc. (Bella Cara Dermatology)
- Hailey Danielle Tweter Hunter
- Michael Douglas Hunter, M.D.
- Mylea Wilson Hunter, DDS
- Neala J Hunter, M.D.
- Huntington Reproductive Center Medical Group, a Medical Corporation (HRC Fertility)
- Jerry Hurtado, MS
- Sharley Hurwitz Rasch
- Michael B. Hurwitz, M.D.
- Mariam Hussein, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.