Individual provider Active NPI

Angela Anagnos, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • San Jose, CA
National Provider Identifier
1174542047
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
00G83027 Issued in CA
Practice address
361 S Monroe St
Suite #40
San Jose, CA 95128-5130
Phone
(408) 247-5337
Fax
(408) 247-9253
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G830270 CA
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 00G83027 CA Primary
Clinical Neurophysiology Physician 2084N0600X 00G83027 CA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X G83027 CA
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X G83027 CA

Addresses

Primary practice location

361 S Monroe St
Suite #40
San Jose, CA 95128-5130

Mailing address

361 S Monroe St
Suite #40
San Jose, CA 95128-5130
Phone (408) 247-5337

Other identifiers 2

IdentifierTypeStateIssuer
00G830271OtherCABLUE SHIELD
00G830270OtherCABLUE SHIELD

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
I20040102000491 CA Practitioner - Neurology 7315846912 Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Ohio State University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

361 S Monroe St
San Jose, CA 95128-5130
Phone (408) 247-5337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G83027CAMDNeuromuscular Medicine (Psychiatry & Neurology) Physician
G830270CAMDNeurology Physician
00G83027CAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Medicine and Neurology a Professional Corporation Sleep Medicine Current Accepting new patients
Cleveland Clinic Avon Hospital Past Accepting new patients
Jaagmd Clinical Neurophysiology Past Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients
Fremont Sleep Apnea Center, LLC Past Accepting new patients
Cleveland Clinic Health System - East Region Past Accepting new patients

Locations

361 S Monroe St
Ste 30
San Jose, CA 95128

2881 Hemlock Ave
#B
San Jose, CA 95128
Phone (408) 261-1000

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1174542047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 S MONROE ST",
            "address_2": "SUITE #40",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951285130",
            "telephone_number": "408-247-5337",
            "fax_number": "408-247-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 S MONROE ST",
            "address_2": "SUITE #40",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951285130",
            "telephone_number": "408-247-5337",
            "fax_number": "408-247-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAGNOS",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G830270",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CA",
            "license": "00G83027",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "00G83027",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "G83027",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "CA",
            "license": "G83027",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G830271",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G830270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.