Individual provider Active NPI

Maxime Cannesson, MD

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1114150810
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
F5551 Issued in CA
Practice address
757 Westwood PLZ Ste 3325
Los Angeles, CA 90095-3201
Phone
(310) 267-8626
NPI assigned
Aug 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X F5551 CA Primary

Addresses

Primary practice location

757 Westwood PLZ Ste 3325
Los Angeles, CA 90095-3201

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

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
I20091111000399 CA Practitioner - Anesthesiology 4587702535 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 8527971316, 237 clinicians

Practice addresses (Care Compare)

757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone (310) 825-9111

Merit-based Incentive Payment System (MIPS)

Final score
96.47 of 100Reported as group
Quality
93.25
Promoting interoperability
100
Improvement activities
40
Cost
79.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F5551CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Anesthesiology CurrentSince Oct 1, 2015 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Sep 11, 2020 Accepting new patients
Martin Luther King Jr Community Medical Foundation Current Accepting new patients
Regents of the University of California Anesthesiology CurrentSince Oct 1, 2015 Accepting new patients
Regents of the University of Anesthesiology CurrentSince Aug 24, 2009 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Sep 11, 2020 Accepting new patients
The Regents of the University of California Past Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8792

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

757 Westwood Plz
Ste 3325
Los Angeles, CA 90095
Phone (310) 267-8626

757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448

File 4501
Los Angeles, CA 90074

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1245 16th St
Santa Monica, CA 90404
Phone (310) 794-1841

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

Interoperability endpoints

  • Direct secure messaging: mcannesson424850@direct.uclahealth.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1114150810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ STE 3325",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953201",
            "telephone_number": "310-267-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNESSON",
        "first_name": "MAXIME",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-27",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "F5551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.