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BEACH PHYSICIANS MEDICAL GROUP INC
NPI 1366439200
Family Medicine in Huntington Beach, CA

Active since October 05, 2005CLIA 05D0577401 · Waiver
17742 BEACH BLVD, STE 215, HUNTINGTON BEACH, CA 92647(714) 848-1655(714) 847-4348 Get Directions Write a Review

NPPES record last updated: January 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beach Physicians Medical Group Inc NPPES

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

BEACH PHYSICIANS MEDICAL GROUP INC (NPI 1366439200) is a healthcare organization registered as a family medicine in Huntington Beach, California and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Arnold J Brender, President, as its authorized official.

NPPES Registry Identity

NPI1366439200
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEACH PHYSICIANS MEDICAL GROUP INC
Location Address17742 BEACH BLVD, STE 215Huntington Beach, CA 92647-6818
Mailing Address17742 Beach Blvd, Ste 215Huntington Beach, CA 92647-6818 · (714) 848-1655 · Fax (714) 847-4348
Phone(714) 848-1655
Fax(714) 847-4348
Organization SubpartNo
Authorized OfficialArnold J BrenderPresident · (714) 848-1655
Enumeration DateOctober 5, 2005
Last NPPES UpdateJanuary 5, 2010
✔ NPI 1366439200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X
17742 BEACH BLVD, Huntington Beach, CA 92647
Open in Google Maps ↗

Other Identifiers 1

Medicare PINW16953CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0577401

Beach Physicians Medical Group, Inc · Huntington Beach, CA
Active · expires Apr 28, 2027
CLIA Number05D0577401
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorAish Bassil
Laboratory Phone(714) 848-1655
Laboratory LocationBeach Physicians Medical Group, Inc17742 Beach Blvd Ste 215, Huntington Beach, CA 92647
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. KELSEY CARL PETERSON JR. M.D.
Specialist
17742 BEACH BLVD, 245
HUNTINGTON BEACH, CA 92647
Orange County (714) 329-0179
CALIFORNIA AESTHETIC CENTER A MEDICAL CORPORATION
Plastic Surgery
17742 BEACH BLVD, SUITE 335
HUNTINGTON BEACH, CA 92647
Orange County (714) 848-1133
ROZITA POUROUSHASB M.D.
Pediatrics
17742 BEACH BLVD, SUITE 360
HUNTINGTON BEACH, CA 92647
Orange County (714) 848-0868
VIPAL SONI M.D.
Dermatology
17742 BEACH BLVD, SUITE #325
HUNTINGTON BEACH, CA 92647
Orange County (714) 848-0770
DR. MARY ANNETTE COTE M.D.
Ophthalmology
17742 BEACH BLVD, SUITE 305
HUNTINGTON BEACH, CA 92647
Orange County (714) 596-4488
BASSIL AISH MD
Family Medicine
17742 BEACH BLVD, STE 215
HUNTINGTON BEACH, CA 92647
Orange County (714) 848-1655
DR. JOHANNA DUBYAK M.D.
Obstetrics & Gynecology
17742 BEACH BLVD, SUITE 345
HUNTINGTON BEACH, CA 92647
Orange County (714) 841-9899
PAUL ALAN REGGIARDO D.D.S.
Dentist (Pediatric Dentistry)
17742 BEACH BLVD, SUITE 320
HUNTINGTON BEACH, CA 92647
Orange County (714) 848-0234

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 Beach Physicians Medical Group Inc's NPI number?

The NPI number for Beach Physicians Medical Group Inc is 1366439200. It was assigned to this organization in the NPPES registry on October 5, 2005.

Where is Beach Physicians Medical Group Inc located?

Beach Physicians Medical Group Inc is located at 17742 Beach Blvd Ste 215, Huntington Beach, CA 92647. The listed phone number is (714) 848-1655.

What is Beach Physicians Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Beach Physicians Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0577401) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beach Physicians Medical Group Inc was last updated on January 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.