Active NPI
Lanny Rudner, MD
- Orthopaedic Foot and Ankle Surgery Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- A118170
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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. Hammer
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
- Adventist Health Twin Cities
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A118170 | CA | MD | Orthopaedic Foot and Ankle Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHP of California Medical Group Inc | Current | Accepting new patients | |
| DHP of Twin Cities Medical Group Inc | Orthopaedic Surgery | Current | 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.
-
- Orthopaedic Surgery Physician
- Templeton, CA
- NPI 1295082857
-
- Obstetrics & Gynecology Physician
- Stockton, CA
- NPI 1679836084
-
- Occupational Medicine Clinic/Center
- San Francisco, CA
- NPI 1508007956
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Luis Obispo, CA
- NPI 1609044924
-
- General Acute Care Hospital
- Templeton, CA
- NPI 1396778197
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.