Individual provider Active NPI

Lanny Rudner, MD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1093971293
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
A118170 Issued in CA
Practice address
99 N la Cienega Blvd Ste 304
Beverly Hills, CA 90211-2286
Phone
(310) 362-3088
Fax
(310) 388-3184
NPI assigned
Aug 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A118170 CA
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X A118170 CA Primary

Addresses

Primary practice location

99 N la Cienega Blvd Ste 304
Beverly Hills, CA 90211-2286

Mailing address

200 S Barrington Ave Unit 49857
Los Angeles, CA 90049-7836
Phone (310) 362-3088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181130002721 CA Practitioner - Orthopedic Surgery 9133375389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Baylor College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David B. HammerGroup PAC ID 3971559881, 117 clinicians
DHP of Twin Cities Medical Group IncGroup PAC ID 0840449385, 6 clinicians

Practice addresses (Care Compare)

1051 Las Tablas Rd
Templeton, CA 93465-5603

1100 Las Tablas Rd
Templeton, CA 93465-9704
Phone (805) 434-4352

Hospital & facility affiliations

  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • Adventist Health Twin Cities Hospital, Templeton, CA, CCN 050633

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A118170CAMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of California Medical Group Inc CurrentSince Nov 1, 2022 Accepting new patients
DHP of Twin Cities Medical Group Inc Orthopaedic Surgery CurrentSince Sep 27, 2018 Accepting new patients
Occupational Health Centers of California, a Medical Corporation Past Accepting new patients

Locations

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1093971293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S BARRINGTON AVE UNIT 49857",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900497836",
            "telephone_number": "310-362-3088",
            "fax_number": "310-388-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N LA CIENEGA BLVD STE 304",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112286",
            "telephone_number": "310-362-3088",
            "fax_number": "310-388-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDNER",
        "first_name": "LANNY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-06",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A118170",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CA",
            "license": "A118170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.