Individual provider Active NPI

Anoosheh Lolachi, M.D.

  • Internal Medicine Physician
  • Lawndale, CA
National Provider Identifier
1093781197
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A51135 Issued in CA
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

Updated by the provider on Jul 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3015080MedicaidMI

Other names 1

  • Dr. Anoosheh Pourdanesh Former name

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.

Verify at the official NPI Registry.