Individual provider Active NPI

Anjala Kanda, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tustin, CA
National Provider Identifier
1174577654
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4633 Issued in CA
Practice address
14642 Newport Ave
Suite 450
Tustin, CA 92780-6057
Phone
(714) 669-4422
Fax
(714) 669-4444
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4633 CA Primary

Addresses

Primary practice location

14642 Newport Ave
Suite 450
Tustin, CA 92780-6057

Mailing address

14642 Newport Ave
Suite 450
Tustin, CA 92780-6057
Phone (714) 669-4422

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050808000283 CA Practitioner - Podiatry 1850320169 Reassigns benefits to 1 organization
Practice locations: Tustin, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oc Foot and Ankle Associates IncGroup PAC ID 6305172487, 2 clinicians

Practice addresses (Care Compare)

9901 Paramount Blvd
Suite 202
Downey, CA 90240-3853
Phone (562) 923-0371

Hospital & facility affiliations

  • Foothill Regional Medical Center Hospital, Tustin, CA, CCN 050780

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue89
Removal of skin lesions1-10
Removal of nail tissue454
Removal or shaving of skin growth189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Foot and Ankle Associates, Inc Foot & Ankle Surgery CurrentSince Jun 1, 2019 Accepting new patients
Oc Foot and Ankle Associates Inc CurrentSince May 1, 2019 Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
University of California Irvine Past Accepting new patients
Oc Foot and Ankle Associates, Inc Foot & Ankle Surgery Past Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
Alta Newport Hospital, LLC Past Accepting new patients

Locations

3400 W Ball Rd
Ste 100B
Anaheim, CA 92804
Phone (714) 484-4900

9901 Paramount Blvd
Ste 202
Downey, CA 90240
Phone (562) 923-0371

19066 Magnolia St
#H
Huntington Beach, CA 92646

14642 Newport Ave
Ste 450
Tustin, CA 92780
Phone (714) 669-4422

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1174577654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVE",
            "address_2": "SUITE 450",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806057",
            "telephone_number": "714-669-4422",
            "fax_number": "714-669-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVE",
            "address_2": "SUITE 450",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806057",
            "telephone_number": "714-669-4422",
            "fax_number": "714-669-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDA",
        "first_name": "ANJALA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.