Active NPI
Dilip Anmangandla, MD Inc
- Internal Medicine Physician
- Agoura Hills, CA
National Provider Identifier
1184032351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DILIP ANMANGANDLA, MD INC
- Practice address
- 28040 Dorothy Drive Suite 103
Agoura Hills, CA 91301 - Phone
- (818) 403-7874
- NPI assigned
- Jul 31, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dilip Anmangandla, M.D.
- Title
- President/Owner
- Phone
- (818) 403-7874
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
28040 Dorothy Drive Suite 103
Agoura Hills, CA 91301
Mailing address
28040 Dorothy Drive Suite 103
Agoura Hills, CA 91301
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406764800000",
"number": "1184032351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28040 DOROTHY DRIVE SUITE 103",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "91301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28040 DOROTHY DRIVE SUITE 103",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "91301",
"telephone_number": "818-403-7874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DILIP ANMANGANDLA, MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-31",
"last_updated": "2014-07-31",
"status": "A",
"authorized_official_last_name": "ANMANGANDLA",
"authorized_official_first_name": "DILIP",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "818-403-7874",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Agoura Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.