Organization Active NPI

Bruce D Appelbaum MD Inc

  • Psychiatry Physician
  • Huntington Beach, CA
National Provider Identifier
1952696965
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G69512 Issued in CA
Legal business name
BRUCE D APPELBAUM MD INC
Practice address
18811 Huntington Street
Suite 200
Huntington Beach, CA 92648-6003
Phone
(949) 460-4973
Fax
(949) 864-2973
NPI assigned
Jun 17, 2011
Last updated
Jun 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Authorized official

Name
Bruce D Appelbaum, MDNPI 1528046463
Title
Provider/Owner
Phone
(949) 460-4973

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G69512 CA Primary

Addresses

Primary practice location

18811 Huntington Street
Suite 200
Huntington Beach, CA 92648-6003

Mailing address

18811 Huntington Street
Suite 200
Huntington Beach, CA 92648-6003
Phone (949) 460-4973

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110829000630 CA Part B Supplier - Clinic/Group Practice 7416127543 Receives reassigned benefits from 1 practitioner
Practice locations: Anaheim, CA; Huntington Beach, CA; Cerritos, CA

National Provider Directory

National Provider Directory

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": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1952696965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18811 HUNTINGTON STREET",
            "address_2": "SUITE 200",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486003",
            "telephone_number": "949-460-4973",
            "fax_number": "949-864-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18811 HUNTINGTON STREET",
            "address_2": "SUITE 200",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486003",
            "telephone_number": "949-460-4973",
            "fax_number": "949-864-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE D APPELBAUM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "APPELBAUM",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "949-460-4973",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G69512",
            "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 Jun 17, 2011; 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.