BEACH FAMILY DOCTORS MEDICAL GROUP (NPI# 1467406611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467406611 |
| Entity Type | Organization |
| Organization Name | BEACH FAMILY DOCTORS MEDICAL GROUP |
| Practice Address |
9131 Adams Ave Huntington Beach CA 92646-3462 |
| Mailing Address |
Po Box 15775 Newport Beach CA 92659-5775 |
| Practice Telephone | 7148455906 |
| Practice Fax Number | 7148455922 |
| Mailing Telephone | 6572413600 |
| Mailing Fax Number | 6572417708 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | DR. JULIA HARRIS (PARTNER) |
| Authorized Official Telephone | 7148455900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578938981 | Beach Family Doctors Medical Group | Preferred Provider Organization | 9131 Adams Ave, Huntington Beach, CA 92648 | 2015-12-10 |
| Street Address |
9131 ADAMS AVE |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92646-3462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679551873 | Andrew Mleynek | Family Medicine | 9131 Adams Ave, Huntington Beach, CA 92646-3462 | 2006-01-06 |
| 1316457906 | Samantha Siegel | Nurse Practitioner | 9131 Adams Ave, Huntington Beach, CA 92646-3462 | 2017-10-09 |
| 1710342332 | Shawn Kristin Shintaku | Nurse Practitioner | 9131 Adams Ave, Huntington Beach, CA 92646 | 2015-12-26 |
| 1578938981 | Beach Family Doctors Medical Group | Preferred Provider Organization | 9131 Adams Ave, Huntington Beach, CA 92648 | 2015-12-10 |
| 1144527441 | Bonnie Cheung | Family Medicine | 9131 Adams Ave, Huntington Beach, CA 92646-3462 | 2011-02-22 |
| 1568628881 | Jennilyn T Lopez | Physician Assistant | 9131 Adams Ave, Huntington Beach, CA 92646-3462 | 2008-08-06 |
| 1194855486 | Primary Care Specialists, Inc | Clinic/Center | 9131 Adams Ave, Huntington Beach, CA 92646-3403 | 2007-03-06 |
| 1770693905 | Michael M Khatibi | Internal Medicine | 9131 Adams Ave, Huntington Beach, CA 92646-3403 | 2006-08-30 |
| 1326095605 | Julia Harris | Family Medicine | 9131 Adams Ave, Huntington Beach, CA 92646-3462 | 2006-05-30 |
| 1699729889 | Sabine Bernbeck | Family Medicine | 9131 Adams Ave, Huntington Beach, CA 92646-3462 | 2006-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255809000 | Geraldine Anne Loughran-beutler | Registered Nurse | 9941 Hot Springs Dr, Huntington Beach, CA 92646 | 2018-11-09 |
| 1740646934 | Srinivasa Murthy | Pediatrics | 8851 Baywood Drive, Huntington Beach, CA 92646 | 2016-01-05 |
| 1134584436 | A & A Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 9106 Adams Ave, Huntington Beach, CA 92646 | 2015-12-31 |
| 1053776302 | A&a Pharmacies, Inc. | Pharmacy | 9106 Adams Avenue, 9108, Huntington Beach, CA 92646 | 2015-12-30 |
| 1194101956 | The Piercy Group, Inc. | Physical Therapist | 19032 Magnolia St. B, Huntington Beach, CA 92646 | 2015-08-04 |
| 1033596788 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 9110 Adams Avenue, Huntington Beach, CA 92646 | 2015-05-01 |
| 1427446640 | Celline Thanh Pham Dds, Inc | Dentist | 19059 Bushard St, Huntington Beach, CA 92646 | 2014-12-23 |
| 1538565320 | Orange County Urgent Care #3 Inc. | Clinic/Center | 10026-10028 Adams Avenue, Huntington Beach, CA 92646 | 2014-11-06 |
| 1184065948 | Megan Price | Behavioral Analyst | 8902 Albatross, Huntington Beach, CA 92646 | 2013-07-09 |
| 1699029504 | Jean-pierre Jacques Dufour | Family Medicine | 8952 Faust Cir., Huntington Beach, CA 92646 | 2012-10-30 |
| Find all providers in zip 92646 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285918 | Be Well Centers of Southern California, Inc. | Clinic/Center | 7801 Center Ave Ste 103, Huntington Beach, CA 92647-9112 | 2018-12-04 |
| 1285181156 | One Health Medical and Surgical Center Inc | Clinic/Center | 4142 Shorebreak Dr, Huntington Beach, CA 92649-2183 | 2016-09-07 |
| 1669857637 | Orange County Critical Care & Pulmonary | Clinic/Center | 8201 Newman Ave Ste 101, Huntington Beach, CA 92647-7043 | 2015-07-20 |
| 1184805590 | Beach Surgical Medical Center LLC | Clinic/Center | 18080 Beach Blvd, Suite 101, Huntington Beach, CA 92648-1342 | 2007-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878117 | Cameron S Francis Md Inc | Clinic/Center | 1431 Camino Del Mar, Del Mar, CA 92014-2509 | 2020-10-15 |
| 1982211835 | Crossover Health Medical Group | Clinic/Center | 711 W 2nd St Ste A, San Bernardino, CA 92410-3262 | 2020-09-24 |
| 1982211843 | Crossover Health Medical Group | Clinic/Center | 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042 | 2020-09-24 |
| 1164039020 | Crossover Health Medical Group | Clinic/Center | 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 | 2020-09-24 |
| 1104432673 | Aleracare Medical Group of California | Clinic/Center | 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 | 2020-09-21 |
| 1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
| 1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92646 |
Please comment or provide details below to improve the information on BEACH FAMILY DOCTORS MEDICAL GROUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.