Individual provider Active NPI

Anna Houterman, MD

  • Surgery Physician
  • Laguna Hills, CA
National Provider Identifier
1164637435
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A86277 Issued in CA
Practice address
24302 Paseo de Valencia Ste 201
Laguna Hills, CA 92653-3115
Phone
(949) 598-1701
Fax
(949) 598-1711
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A86277 CA Primary

Addresses

Primary practice location

24302 Paseo de Valencia Ste 201
Laguna Hills, CA 92653-3115

Mailing address

24302 Paseo de Valencia Ste 201
Laguna Hills, CA 92653-3115
Phone (949) 598-1701

Other identifiers 2

IdentifierTypeStateIssuer
A86277OtherCAMEDICAL LICENSE
CB231350OtherCAMEDICARE PTAN

Other names 1

  • Anna Kaminski 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
I20070807000198 CA Practitioner - General SurgeryPractitioner - Other (Physician)Practitioner - General Practice 6305937269 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Southern California Keck School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of California Los AngelesGroup PAC ID 4587857727, 84 clinicians

Practice addresses (Care Compare)

1801 Wilshire Blvd
Santa Monica, CA 90403-5609
Phone (310) 319-5098

24302 Paseo de Valencia
Suite 201
Laguna Hills, CA 92653-3115
Phone (949) 598-1701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.46 of 100Reported as group
Quality
80.82
Promoting interoperability
100
Improvement activities
40
Cost
71.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A86277CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Dec 1, 2020 Accepting new patients
Regents of the University of California Los Angeles CurrentSince Jul 1, 2018 Accepting new patients
The Regents of the University of California CurrentSince Dec 1, 2020 Accepting new patients
UCLA Associated General Surgeons Surgery CurrentSince Feb 1, 2020 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Usc Surgeons, Inc. Surgery Past Accepting new patients
Mission Surgical Center Inc Past Accepting new patients
Anaheim Surgical Associates Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
UCLA Medical Group Surgery Past Accepting new patients
St. Joseph Hospital Past Accepting new patients
G2 Anesthesia PC Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
UCLA Associated General Surgeons Surgery Past Accepting new patients

Locations

24302 Paseo de Valencia
Ste 201
Laguna Hills, CA 92653
Phone (949) 598-1701

24302 Paseo de Valencia
#201
Laguna Hills, CA 92653

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

File 54206
Los Angeles, CA 90074

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

File 55737
Los Angeles, CA 90074

1010 W La Veta Ave
Ste 475
Orange, CA 92868
Phone (714) 565-0166

1801 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 319-5098

1260 15th St
Ste 1200
Santa Monica, CA 90404
Phone (310) 451-8751

2780 Skypark Dr
Ste 145
Torrance, CA 90505
Phone (310) 530-8001

3445 Pacific Coast Hwy
Ste 300
Torrance, CA 90505
Phone (310) 325-3044

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1164637435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24302 PASEO DE VALENCIA STE 201",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533115",
            "telephone_number": "949-598-1701",
            "fax_number": "949-598-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24302 PASEO DE VALENCIA STE 201",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533115",
            "telephone_number": "949-598-1701",
            "fax_number": "949-598-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUTERMAN",
        "first_name": "ANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A86277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A86277",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB231350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "KAMINSKI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.