PRIME HEALTHCARE HUNTINGTON BEACH, LLC
NPI 1083622120
General Acute Care Hospital in Huntington Beach, CA

Q: What is Prime Healthcare Huntington Beach, LLC's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Active since August 04, 2006

17772 BEACH BLVD, HUNTINGTON BEACH, CA 92647(714) 842-1473(909) 235-4419 Get Directions Write a Review

NPPES record last updated: December 17, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Prime Healthcare Huntington Beach, Llc NPPES

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

PRIME HEALTHCARE HUNTINGTON BEACH, LLC (NPI 1083622120) is a healthcare organization registered as a general acute care hospital in Huntington Beach, California and active in the NPI registry since August 2006. The organization lists Radha A Savitala, Deputy General Counsel, as its authorized official.

NPPES Registry Identity

NPI1083622120

Entity TypeOrganization

Primary Taxonomy282N00000X

Legal Business NamePRIME HEALTHCARE HUNTINGTON BEACH, LLC

Location Address17772 BEACH BLVDHuntington Beach, CA 92647-6819

Mailing Address3300 E Guasti Rd, 3rd FloorOntario, CA 91761-8655 · (909) 235-4400 · Fax (909) 235-4419

Phone(714) 842-1473

Fax(909) 235-4419

Organization SubpartNo

Authorized OfficialRadha A SavitalaDeputy General Counsel · (909) 235-4308

Enumeration DateAugust 4, 2006

Last NPPES UpdateDecember 17, 2013

✔ NPI 1083622120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

17772 BEACH BLVD, Huntington Beach, CA 92647

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Other Identifiers 2

Medicare OSCAR/certification050526CA

Medicare OSCAR/certification05S526CA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prime Healthcare Huntington Beach, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20061009000169Part A · HospitalDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 20

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

BEACH EMERGENCY MEDICAL ASSOCIATES

Emergency Medicine