SURF CITY PEDS (NPI# 1164723284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164723284 |
| Entity Type | Organization |
| Organization Name | SURF CITY PEDS |
| Other Organization Name | PAULINE PEPEK, M.D |
| Practice Address |
17742 Beach Blvd Suite 240 Huntington Beach CA 92647-6818 |
| Practice Telephone | 7148420444 |
| Practice Fax Number | 7148428444 |
| Mailing Telephone | 7148420444 |
| Mailing Fax Number | 7148428444 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-08 |
| Authorized Official Name | DR. PAULINE LIANG PEPEK (OWNER) |
| Authorized Official Telephone | 7148420444 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1427086628 | 01 |
| Other Name | Type Code |
|---|---|
| pauline pepek, m.d | Doing Business As Name - Organization |
| Street Address |
17742 BEACH BLVD SUITE 240 |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92647-6818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124015888 | Bassil Aish | Family Medicine | 17742 Beach Blvd, Ste 215, Huntington Beach, CA 92647-6818 | 2005-09-28 |
| 1871910265 | Claudine Yamaoka | Nurse Practitioner | 17742 Beach Blvd, #240, Huntington Beach, CA 92647-6818 | 2014-03-24 |
| 1154745842 | Paul Alan Reggiardo | Dentist | 17742 Beach Blvd, Suite 320, Huntington Beach, CA 92647-6818 | 2014-02-14 |
| 1053680736 | Rozita Pouroushasb | Pediatrics | 17742 Beach Blvd, Suite 360, Huntington Beach, CA 92647-6854 | 2011-12-24 |
| 1962702084 | Katherine L Vo-gonzalez | Physician Assistant | 17742 Beach Blvd, Ste 215, Huntington Beach, CA 92647-6818 | 2010-10-22 |
| 1689983330 | Glenda B Secor, Od, Faao, Inc | Optometrist | 17742 Beach Blvd, 305, Huntington Beach, CA 92647-6818 | 2010-09-29 |
| 1962726331 | Vipal Soni M.d., Inc. | Dermatology | 17742 Beach Blvd, Suite 325, Huntington Beach, CA 92647-6852 | 2010-03-15 |
| 1518289503 | Cao Van Pham M D Inc | Internal Medicine | 17742 Beach Blvd, Suite #230, Huntington Beach, CA 92647-6835 | 2010-02-18 |
| 1831322403 | Hsin Chang, Chao Shuo Huang Medical Group Inc. | Pediatrics | 17742 Beach Blvd, Suite 240, Huntington Beach, CA 92647-6818 | 2009-08-31 |
| 1518137504 | M . Rahbar, Md, Inc. | Anesthesiology | 17742 Beach Blvd, Suite 355, Huntington Beach, CA 92647-6853 | 2008-03-05 |
| Find all providers in the same location | ||||
| 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 | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578804084 | Eleanor S. Blatt | Pediatrics | 212 20th St, Huntington Beach, CA 92648-3914 | 2013-03-07 |
| 1548221542 | Grace Mari Kasamatsu | Pediatrics | 17742 Beach Blvd, Suite 240, Huntington Beach, CA 92647 | 2006-03-29 |
| 1598726507 | Michelle Lynn Bennett | Pediatrics | 17742 Beach Blvd., Suite 240, Huntington Beach, CA 92647 | 2006-03-29 |
| 1831322403 | Hsin Chang, Chao Shuo Huang Medical Group Inc. | Pediatrics | 17742 Beach Blvd, Suite 240, Huntington Beach, CA 92647-6818 | 2009-08-31 |
| 1528096559 | Hsin Chang | Pediatrics | 17742 Beach Blvd., Suite 240, Huntington Beach, CA 92647 | 2006-06-29 |
| 1427086628 | Pauline Pepek | Pediatrics | 17742 Beach Blvd, Suite 240, Huntington Beach, CA 92647 | 2006-06-28 |
| 1104881523 | Mohan Priyakantha Kumaratne | Pediatrics | 17692 Beach Blvd, Ste. 200, Huntington Beach, CA 92647-6837 | 2006-04-19 |
| 1780648865 | Thomas Edward Angelovic | Pediatrics | 17742 Beach Blvd, Suite 315, Huntington Beach, CA 92647-6818 | 2006-04-14 |
| 1700847704 | Patricia N Stephens | Pediatrics | 17742 Beach Blvd, Suite 360, Huntington Beach, CA 92647-6818 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986107 | School Health Clinics of Santa Clara County | Pediatrics | 855 Lenzen Ave Rm 105, San Jose, CA 95126-2736 | 2019-05-06 |
| 1669927125 | Irvine Doctors of Kids and Teens | Pediatrics | 4950 Barranca Pkwy Ste 306, Irvine, CA 92604-4631 | 2016-08-24 |
| 1043673270 | Alexander S Golec | Pediatrics | 3333 California St Ste 245, San Francisco, CA 94118-6210 | 2016-04-04 |
| 1710360094 | Jennifer Johnson, M.d., A Professional Corporation | Pediatrics | 366 San Miguel Dr Ste 209, Newport Beach, CA 92660-7810 | 2015-07-03 |
| 1902290448 | Brittany Kathleen Badal | Pediatrics | 2330 Post St Ste 219, San Francisco, CA 94115-3465 | 2015-03-23 |
| 1750770608 | Ighia Aintablian Md A Professional Corporation | Pediatrics | 1510 S Central Ave Ste 450, Glendale, CA 91204-2510 | 2015-01-15 |
| 1184035032 | Carlos Beharie M.d. Medical Group, Inc. | Pediatrics | 4160 N. Maine Ave, Suite B1, B2, B3, Baldwin Park, CA 91706-3304 | 2014-05-14 |
| 1164859385 | Pediatric Adolescent Clinic | Pediatrics | 1214 Adriana Way, Upland, CA 91784-1742 | 2013-10-02 |
| 1053676619 | Gladys Hope Dadivas Yerro | Pediatrics | 14555 Hamlin St Ste 108, Van Nuys, CA 91411-1617 | 2012-07-10 |
| 1730471699 | Ilana Katsnelson | Pediatrics | 901 Campus Dr Ste 210, Daly City, CA 94015-4930 | 2011-05-11 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92647 |
Please comment or provide details below to improve the information on SURF CITY PEDS.
| 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.