DR. EDWARD R ETZKORN MD
NPI 1780680140
Internal Medicine in Huntington Beach, CA

Active since June 21, 2005PECOS Enrolled
19066 MAGNOLIA ST., HUNTINGTON BEACH, CA 92646(714) 968-0068 Get Directions Write a Review

NPPES record last updated: November 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1780680140
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EDWARD R ETZKORNCredential: MD
Location Address19066 MAGNOLIA ST.Huntington Beach, CA 92646
Mailing Address19066 Magnolia StHuntington Beach, CA 92646-2232 · (714) 968-0068
Sole ProprietorNo
Enumeration DateJune 21, 2005
Last NPPES UpdateNovember 5, 2012
NPI 1780680140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · G57149
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License G57149 (CA)
19066 MAGNOLIA ST., Huntington Beach, CA 92646

Other Identifiers 2

Medicare UPINF57098CA
Other00G571490CA · Medi Cal #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Edward R Etzkorn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Family Medicine
19066 MAGNOLIA ST.
HUNTINGTON BEACH, CA 92646
Pediatrics
19066 MAGNOLIA ST.
HUNTINGTON BEACH, CA 92646
Internal Medicine
19066 MAGNOLIA ST.
HUNTINGTON BEACH, CA 92646

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.

When was this NPI record last updated?

The NPPES record for Edward Etzkorn was last updated on November 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.