PACIFIC BEACH MEDICAL GROUP, INC.


Address: 16111 Beach Blvd., Huntington Beach, CA 92647
Phone: 7148473700

PACIFIC BEACH MEDICAL GROUP, INC. (NPI# 1710345095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710345095
Entity Type Organization
Organization Name PACIFIC BEACH MEDICAL GROUP, INC.
Practice Address 16111 Beach Blvd.
Huntington Beach
CA 92647
Practice Telephone 7148473700
Practice Fax Number 7148473711
Mailing Telephone 7148473700
Mailing Fax Number 7148473711
Enumeration Date 2016-02-02
Last Update Date 2016-02-02
Authorized Official Name GRACE TANG KIET (PRESIDENT)
Authorized Official Telephone 7148473700
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0200X Internal Medicine
Specialization: Infectious Disease
Allopathic & Osteopathic Physicians

Office Location

Street Address 16111 BEACH BLVD.
City HUNTINGTON BEACH
State CA
Zip Code 92647

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417464231 Patricia Michelle Ramsey Counselor 16761 Viewpoint Lane, Apt 386, Huntington Beach, CA 92647 2018-01-02
1780103390 Luz Flores Health Educator 8041 Newman Avenue, Hungtington Beach, CA 92647 2017-09-14
1134649106 Louise Polzel Social Worker 17111 Beach Blvd St 205, Huntington Beach, CA 92647 2017-06-21
1205364015 Chi Hong Nguyen Family Medicine 8201 Newman Ave 101, Huntington, CA 92647 2017-05-24
1396281770 Sandra Vera Specialist/Technologist 7812 Edinger Ave. #400, Huntington Beach, CA 92647 2017-01-10
1245773050 Sherika Benjamin Technician, Pathology 8211 San Angelo Drive Suit #f2, Huntington Beach, CA 92647 2016-11-28
1306389440 Nhi Pham Nguyen Behavioral Analyst 17732 Beach Blvd., Suite G, Huntington Beach, CA 92647 2016-11-21
1699148494 Daniel Bui Dentist 16900-a Goldenwest St, Huntington Beach, CA 92647 2015-11-03
1598132359 Hayley Patricia Buchanan Specialist/Technologist 23441 S. Pointe Drive, Suite 245, Laguna Hills, ORANGE COUNTY 92647 2015-08-27
1851770929 Michael Soroudi Nurse Practitioner 7152 Sunlight Dr Sunlight, Huntington Beach, CA 92647 2015-05-22
Find all providers in zip 92647

Taxonomy Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326495250 Shawn Crum, D.o., M.p.h. A Medical Corporation Internal Medicine 16787 Beach Blvd, #337, Huntington Beach, CA 92647-4848 2016-05-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710527452 Minal Kapoor Md PC Internal Medicine 14901 National Ave Ste 202, Los Gatos, CA 95032-2637 2020-01-10
1285271247 Sandeep Kumar Bansil Md Inc Internal Medicine 641 S Primrose St, La Habra, CA 90631-9245 2019-12-09
1356906739 Joshua Wolfsohn Do Inc Internal Medicine 4000 Calle Tecate Ste 220, Camarillo, CA 93012-5289 2019-05-01
1598224222 Andrew Markus Faulk Internal Medicine 2121 Webster St Apt 605, San Francisco, CA 94115-7812 2019-03-12
1205305026 Wilbert C Jordan Md Inc Internal Medicine 16660 Paramount Blvd Ste 303, Paramount, CA 90723-5459 2018-11-21
1295182335 East Bay Area Quality Health Corporation Internal Medicine 400 29th Ave, Suite 501, Oakland, CA 94601-2106 2016-05-18
1174985451 Nicholas Robert Degner Internal Medicine 705 San Carlo Ave, Colton, CA 92324-6864 2016-03-24
1184084865 Mohammad Yousef Alkhatib Md Inc Internal Medicine 79405 Highway 111 Ste 9-334, La Quinta, CA 92253-8300 2016-02-24
1407239700 Alan Koff Internal Medicine 4860 Y St Ste 0101, Sacramento, CA 95817-2307 2015-07-04
1649651563 Chitra Safaya Md Inc Internal Medicine 6699 Alvarado Rd Ste 2308, San Diego, CA 92120-5241 2015-06-16
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Competitor

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City HUNTINGTON BEACH
Zip Code 92647

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Dataset Information

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.

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