Individual provider Active NPI

Anna Valerie Ottaka, M.D.

  • Internal Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1154613685
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A114771 Issued in CA
Practice address
400 Newport Center Dr
Ste 608
Newport Beach, CA 92660-7601
Phone
(949) 720-4920
NPI assigned
May 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A114771 CA Primary

Addresses

Primary practice location

400 Newport Center Dr
Ste 608
Newport Beach, CA 92660-7601

Mailing address

400 Newport Center Dr
Ste 608
Newport Beach, CA 92660-7601
Phone (949) 720-4920

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
I20121204000253 CA Practitioner - Internal Medicine 0446402176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.79 of 100Reported as group
Quality
92.74
Improvement activities
40
Cost
62.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Diego CurrentSince Jun 1, 2022 Accepting new patients
County of San Diego CurrentSince Jun 1, 2022 Accepting new patients
County of San Diego Current Accepting new patients
Newport Center Medical Group CurrentSince Nov 19, 2012 Accepting new patients
Baroudi Medical Consultants Inc Internal Medicine Past Accepting new patients
MD Solutions Medical Corp Past Accepting new patients
Riamd Inc Past Accepting new patients

Locations

1000 Broadway
Ste 210
El Cajon, CA 92021
Phone (619) 401-5500

400 Newport Center Dr
Ste 504
Newport Beach, CA 92660
Phone (949) 720-4920

400 Newport Center Dr
Ste 608
Newport Beach, CA 92660
Phone (949) 644-3551

1250 Morena Blvd
San Diego, CA 92110
Phone (619) 692-8715

3177 Ocean View Blvd
San Diego, CA 92113
Phone (619) 231-9300

3853 Rosecrans St
San Diego, CA 92110
Phone (619) 615-0439

Organizations & group practices 7

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": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1154613685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR",
            "address_2": "STE 608",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607601",
            "telephone_number": "949-720-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR",
            "address_2": "STE 608",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607601",
            "telephone_number": "949-720-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTAKA",
        "first_name": "ANNA",
        "middle_name": "VALERIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A114771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.