Organization Active NPI

Lilli Ann C Cellona M D a Medical

  • Specialist
  • Anaheim, CA
National Provider Identifier
1083813620
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A052283 Issued in CA
Legal business name
LILLI ANN C CELLONA M D A MEDICAL
Practice address
8245 E Monte Vista Rd
Suite 200
Anaheim, CA 92808-1295
Phone
(714) 974-0100
Fax
(714) 974-0300
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Alcaraz
Title
Billing Manager
Phone
(714) 974-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A052283 CA Primary

Addresses

Primary practice location

8245 E Monte Vista Rd
Suite 200
Anaheim, CA 92808-1295

Mailing address

8245 E Monte Vista Rd
Suite 200
Anaheim, CA 92808-1295
Phone (714) 974-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031212000656 CA Part B Supplier - Clinic/Group Practice 2860398765 Receives reassigned benefits from 1 practitioner
Practice locations: Anaheim, CA

National Provider Directory

National Provider Directory

Locations

16169 Harbor Blvd
Fountain Vly, CA 92708
Phone (714) 210-5665

21580 Yorba Linda Blvd
Ste 202
Yorba Linda, CA 92887
Phone (714) 693-3663

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1083813620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 E MONTE VISTA RD",
            "address_2": "SUITE 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081295",
            "telephone_number": "714-974-0100",
            "fax_number": "714-974-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 E MONTE VISTA RD",
            "address_2": "SUITE 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081295",
            "telephone_number": "714-974-0100",
            "fax_number": "714-974-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLI ANN C CELLONA M D A MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "ALCARAZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "714-974-0100"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A052283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.