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MEMORIAL PEDIATRICS
NPI 1073664504
Clinic/Center - Primary Care in Huntington Beach, CA

Active since January 12, 2007
6042 BOLSA AVE, HUNTINGTON BEACH, CA 92647(714) 898-1448(714) 898-8864 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Memorial Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORIAL PEDIATRICS (NPI 1073664504) is a healthcare organization registered as a primary care in Huntington Beach, California and active in the NPI registry since January 2007. The organization lists Rafael Vergara, President, as its authorized official.

NPPES Registry Identity

NPI1073664504
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMEMORIAL PEDIATRICS
Location Address6042 BOLSA AVEHuntington Beach, CA 92647-2443
Mailing Address6042 Bolsa AveHuntington Beach, CA 92647-2443 · (714) 898-1448 · Fax (714) 898-8864
Phone(714) 898-1448
Fax(714) 898-8864
Organization SubpartNo
Authorized OfficialRafael VergaraPresident · (714) 898-1448
Enumeration DateJanuary 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073664504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · A52192
6042 BOLSA AVE, Huntington Beach, CA 92647
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PACIFIC SUN SLEEP SOLUTIONS
Dentist
6042 BOLSA AVE
HUNTINGTON BEACH, CA 92647
Orange County (714) 393-2043
E. SHIBATA PODIATRY CORP.
Clinic/Center (Podiatric)
6042 BOLSA AVE
HUNTINGTON BEACH, CA 92647
Orange County (714) 373-8787
DR OWL PEDIATRICS, INC.
Clinic/Center (Urgent Care)
6042 BOLSA AVE
HUNTINGTON BEACH, CA 92647
Orange County (714) 894-7242
ANDREA KALLAH MD
Pediatrics
6042 BOLSA AVE
HUNTINGTON BEACH, CA 92647
Orange County (714) 898-1448
MRS. TERESA MARIE ALLAN
Nurse Practitioner (Pediatrics)
6042 BOLSA AVE
HUNTINGTON BEACH, CA 92647
Orange County (714) 898-1448
DR. ALICE C SUN D.D.S.
Dentist
6042 BOLSA AVE
HUNTINGTON BEACH, CA 92647
Orange County (714) 373-8787

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Memorial Pediatrics's NPI number?

The NPI number for Memorial Pediatrics is 1073664504. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is Memorial Pediatrics located?

Memorial Pediatrics is located at 6042 Bolsa Ave, Huntington Beach, CA 92647. The listed phone number is (714) 898-1448.

What is Memorial Pediatrics's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Memorial Pediatrics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.