MEMORIAL PEDIATRICS


Address: 6042 Bolsa Ave, Huntington Beach, CA 92647-2443
Phone: 7148981448

MEMORIAL PEDIATRICS (NPI# 1073664504) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
A52192 CA Ambulatory Health Care Facilities

Other Provider IDs and Locations

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

Office Location

Street Address 6042 BOLSA AVE
City HUNTINGTON BEACH
State CA
Zip Code 92647-2443

Providers in the same location

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

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
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
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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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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