MEMORIAL PEDIATRICS (NPI# 1073664504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073664504 |
Entity Type | Organization |
Organization Name | MEMORIAL PEDIATRICS |
Practice Address |
6042 Bolsa Ave Huntington Beach CA 92647-2443 |
Practice Telephone | 7148981448 |
Practice Fax Number | 7148988864 |
Mailing Telephone | 7148981448 |
Mailing Fax Number | 7148988864 |
Enumeration Date | 2007-01-12 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. RAFAEL VERGARA (PRESIDENT) |
Authorized Official Telephone | 7148981448 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A52192 | CA | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194964767 | Memorial Pediatrics | Pediatrics | 4024 Brookhaven Ave, Pasadena, TX 77504-1902 | 2009-02-05 |
1134313158 | Memorial Pediatrics | Pediatrics | 13630 Beamer Rd, Suite 108, Houston, TX 77089-6069 | 2007-09-03 |
Street Address |
6042 BOLSA AVE |
City | HUNTINGTON BEACH |
State | CA |
Zip Code | 92647-2443 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972733970 | Alice C Sun | Dentist | 6042 Bolsa Ave, Huntington Beach, CA 92647-2443 | 2009-07-24 |
1952580300 | Teresa Marie Allan | Nurse Practitioner | 6042 Bolsa Ave, Huntington Beach, CA 92647-2443 | 2007-11-01 |
1871646182 | Andrea Kallah | Pediatrics | 6042 Bolsa Ave, Huntington Beach, CA 92647-2443 | 2007-01-19 |
1831242163 | Dr Owl Pediatrics, Inc. | Clinic/Center | 6042 Bolsa Ave, Huntington Beach, CA 92647-2443 | 2007-01-19 |
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 |
1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
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 |
Find all providers in zip 92647 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760623458 | Rita R. Archer, M.d., Inc. | Clinic/Center | 19582 Beach Blvd Ste 219, Huntington Beach, CA 92648-5923 | 2009-03-10 |
1205375094 | Dr Kazi Clinic Inc | Clinic/Center | 18672 Florida St, 302-b, Huntington Beach, CA 92648-1925 | 2017-02-14 |
1932653565 | Coastal Primary Care | Clinic/Center | 18672 Florida St, 302-b, Huntington Beach, CA 92648-1925 | 2016-08-11 |
1497167696 | Huntington Beach Family Medicine, Inc | Clinic/Center | 19400 Beach Blvd, #11, Huntington Beach, CA 92648-2500 | 2014-05-22 |
1194855486 | Primary Care Specialists, Inc | Clinic/Center | 9131 Adams Ave, Huntington Beach, CA 92646-3403 | 2007-03-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821699521 | Flora Lim | Clinic/Center | 2500 Alton Pkwy Ste 108, Irvine, CA 92606-5032 | 2020-11-08 |
1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
1275131765 | Uzoma Uwakah | Clinic/Center | 2521 Seminary Ave # 1, Oakland, CA 94605-1307 | 2020-10-15 |
1508464470 | Pestle Health LLC | Clinic/Center | 550 Gene Friend Way Apt 214, San Francisco, CA 94158-2283 | 2020-10-13 |
1902404247 | Arbol Acupuncture | Clinic/Center | 2620 Foothill Blvd Ste A, La Crescenta, CA 91214-4509 | 2020-10-09 |
1346857802 | Sos Environmental Health | Clinic/Center | 59 Estaban Dr, Camarillo, CA 93010-1609 | 2020-09-29 |
1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
Find all providers with the same taxonomy |
City | HUNTINGTON BEACH |
Zip Code | 92647 |
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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.