Active NPI
Anoosheh Lolachi, M.D.
- Internal Medicine Physician
- Lawndale, CA
National Provider Identifier
1093781197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A51135
- Practice address
- 15901 Hawthorne Blvd
Suite 230
Lawndale, CA 90260-2655 - Phone
- (310) 371-9900
- Fax
- (310) 371-1800
- NPI assigned
- Feb 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A51135 | CA | Primary |
Addresses
Primary practice location
15901 Hawthorne Blvd
Suite 230
Lawndale, CA 90260-2655
Mailing address
PO Box 3604
Palos Verdes Peninsula, CA 90274-9511
Phone (310) 544-0442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3015080 | Medicaid | MI |
Other names 1
- Dr. Anoosheh Pourdanesh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185321600000",
"number": "1093781197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3604",
"city": "PALOS VERDES PENINSULA",
"state": "CA",
"postal_code": "902749511",
"telephone_number": "310-544-0442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15901 HAWTHORNE BLVD",
"address_2": "SUITE 230",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902602655",
"telephone_number": "310-371-9900",
"fax_number": "310-371-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOLACHI",
"first_name": "ANOOSHEH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2007-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A51135",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3015080",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANOOSHEH",
"last_name": "POURDANESH",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lawndale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.