Organization Active NPI

Lanark Family Medical Clinic Inc

  • General Practice Physician
  • Panorama City, CA
National Provider Identifier
1124106646
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LANARK FAMILY MEDICAL CLINIC INC
Practice address
8040 Van Nuys Blvd
Panorama City, CA 91402-6010
Phone
(818) 373-4870
Fax
(818) 997-9442
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Dr. Anitha Reddy Kankar, M.D.NPI 1740363878
Title
President
Phone
(818) 373-4870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X CA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X CA Primary

Addresses

Primary practice location

8040 Van Nuys Blvd
Panorama City, CA 91402-6010

Mailing address

8040 Van Nuys Blvd
Panorama City, CA 91402-6010
Phone (818) 373-4870

Other identifiers 1

IdentifierTypeStateIssuer
GR0092260MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210914003245 CA Part B Supplier - Clinic/Group Practice 4082010194 Receives reassigned benefits from 1 practitioner
Practice locations: Panorama City, CA

National Provider Directory

National Provider Directory

Locations

8040 Van Nuys Blvd
Panorama City, CA 91402
Phone (818) 373-4870

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1124106646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 VAN NUYS BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914026010",
            "telephone_number": "818-373-4870",
            "fax_number": "818-997-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 VAN NUYS BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914026010",
            "telephone_number": "818-373-4870",
            "fax_number": "818-997-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANARK FAMILY MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "KANKAR",
        "authorized_official_first_name": "ANITHA",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-373-4870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0092260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.