DR. EDWARD R ETZKORN MD
NPI 1780680140
Internal Medicine in Huntington Beach, CA
About Dr. Edward R Etzkorn Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWARD R ETZKORN MD (NPI 1780680140) is an individual internal medicine provider in Huntington Beach, California, licensed in California (G57149) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Edward R Etzkorn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Edward Etzkorn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tustin, CA 92780
- Reassigned Medicare billing, California enrollment
- 2,052 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92646 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Edward Etzkorn's NPI number?
The NPI number for Edward Etzkorn is 1780680140. It was assigned to this individual provider in the NPPES registry on June 21, 2005.
Where is Edward Etzkorn located?
Edward Etzkorn practices at 19066 Magnolia St., Huntington Beach, CA 92646. The listed phone number is (714) 968-0068.
What is Edward Etzkorn's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Edward Etzkorn enrolled in Medicare?
Yes. Edward Etzkorn is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Edward Etzkorn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Etzkorn reassigns Medicare benefits to Healthcare Partners Affiliates Medical Group (Tustin, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Etzkorn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Edward Etzkorn was last updated on November 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Edward R Etzkorn, MD · NPI 1780680140
Internal Medicine physician in Huntington Beach, California. Individual provider, active in the CMS NPPES registry since June 21, 2005.
## Identity
- **NPI:** 1780680140 (Entity type: Individual)
- **Enumerated:** June 21, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** G57149 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 19066 MAGNOLIA ST., Huntington Beach, CA 92646
- **Phone:** (714) 968-0068
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Healthcare Partners Affiliates Medical Group (NPI 1891981502, Tustin, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 5, 2012
- **Other identifiers:** Medicare UPIN F57098 (CA); Other 00G571490 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1780680140) · Data from the CMS NPPES public registry.