POWERSMD WELLNESS MEDICAL GROUP NPI 1740612134

NPI Information

  • NPI: 1740612134
  • Provider Name: POWERSMD WELLNESS MEDICAL GROUP
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 428 MAIN ST
    SUITE 101
    HUNTINGTON BEACH, CA
    ZIP 92648
  • Phone: (714) 843-0400

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NPI Details

POWERSMD WELLNESS MEDICAL GROUP is a general practice in Huntington Beach, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee POWERSMD WELLNESS MEDICAL GROUP NPI is 1740612134. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

428 MAIN ST
SUITE 101
HUNTINGTON BEACH, CA
ZIP 92648-142
Phone: (714) 843-0400
Fax: (714) 969-4001

The provider's authorized official is Thomas Powers .
The authorized official title is Owner and has the following contact phone number (714) 843-0400.

The enumeration date for this NPI number is 8/7/2013 and was last updated on 9/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0401XFamily MedicineAddiction MedicineG15640CALIFORNIANo
2208VP0014XPain MedicineInterventional Pain MedicineG15640CALIFORNIANo
3208VP0000XPain MedicinePain MedicineG15640CALIFORNIANo
4208D00000XGeneral PracticeG15640CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G15640OTHERCALIFORNIAMEDICAL LICENSE
2A119702OTHERCALIFORNIAMEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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