Individual provider Active NPI

Anoushiravan Ehya, M.D.

  • Specialist
  • Lawndale, CA
National Provider Identifier
1124054499
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A060345 Issued in CA
Practice address
14516 Hawthorne Blvd
Lawndale, CA 90260-1519
Phone
(310) 219-0890
Fax
(310) 219-0297
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A060345 CA Primary

Addresses

Primary practice location

14516 Hawthorne Blvd
Lawndale, CA 90260-1519

Mailing address

14516 Hawthorne Blvd
Lawndale, CA 90260-1519
Phone (310) 219-0890

Other identifiers 1

IdentifierTypeStateIssuer
A060345OtherCAMEDICAL LICENSE

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
I20040903000429 CA Practitioner - Orthopedic Surgery 5294701991 1 other NPI on this enrollment

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A060345CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ernest N Curtis MD Past Accepting new patients

Organizations & group practices 1

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1124054499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14516 HAWTHORNE BLVD",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601519",
            "telephone_number": "310-219-0890",
            "fax_number": "310-219-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14516 HAWTHORNE BLVD",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601519",
            "telephone_number": "310-219-0890",
            "fax_number": "310-219-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHYA",
        "first_name": "ANOUSHIRAVAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A060345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A060345",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawndale, CA

Sources for this page

Verify at the official NPI Registry.