Individual provider Active NPI

Ana Bertha Pantoja, M.D.

  • Family Medicine Physician
  • West Covina, CA
National Provider Identifier
1164593877
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A91066 Issued in CA
Practice address
1300 S Sunset Ave
West Covina, CA 91790-3342
Phone
(626) 960-6999
Fax
(626) 960-5246
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A91066 CA Primary

Addresses

Primary practice location

1300 S Sunset Ave
West Covina, CA 91790-3342

Mailing address

1300 S Sunset Ave
West Covina, CA 91790-3342
Phone (626) 960-6999

Other names 1

  • Miss Ana Bertha Ramos Former name

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
I20050810001101 CA Practitioner - Family Practice 8123057080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Specialists Medical CorporationGroup PAC ID 6709834112, 25 clinicians

Practice addresses (Care Compare)

815 Washington Blvd
Montebello, CA 90640-6123
Phone (323) 255-5643

Hospital & facility affiliations

  • Curing Hands Home Health, Inc Home health agency, Burbank, CA, CCN 059361

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Specialists Medical Corporation Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Family Care Specialists Medical Corporation Family Medicine Current Accepting new patients
Family Care Specialists Medical Corporation Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients

Locations

1701 E Cesar E Chavez Ave
Ste 230
Los Angeles, CA 90033
Phone (323) 226-1100

5823 York Blvd
Ste 4
Los Angeles, CA 90042

5823 York Blvd
Ste 3
Los Angeles, CA 90042
Phone (323) 255-5643

815 Washington Blvd
Montebello, CA 90640
Phone (323) 255-5643

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ana.pantoja.2@24668.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1164593877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S SUNSET AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903342",
            "telephone_number": "626-960-6999",
            "fax_number": "626-960-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S SUNSET AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903342",
            "telephone_number": "626-960-6999",
            "fax_number": "626-960-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTOJA",
        "first_name": "ANA",
        "middle_name": "BERTHA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A91066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "RAMOS",
            "middle_name": "BERTHA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.