Individual provider Active NPI

Antonia Maria Erika Scremin, MD

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
National Provider Identifier
1225146103
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A34989 Issued in CA
Practice address
11301 Wilshire Blvd
117
Los Angeles, CA 90074-1003
Phone
(310) 268-3982
Fax
(310) 268-4935
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A34989 CA Primary

Addresses

Primary practice location

11301 Wilshire Blvd
117
Los Angeles, CA 90074-1003

Mailing address

11301 Wilshire Blvd
117
Los Angeles, CA 90074-1003
Phone (310) 268-3982

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
I20130709000686 CA Order and Referring Only - Physical Medicine and RehabilitationPractitioner - Physical Medicine and Rehabilitation 3678713922

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225146103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BLVD",
            "address_2": "117",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900741003",
            "telephone_number": "310-268-3982",
            "fax_number": "310-268-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BLVD",
            "address_2": "117",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900741003",
            "telephone_number": "310-268-3982",
            "fax_number": "310-268-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCREMIN",
        "first_name": "ANTONIA",
        "middle_name": "MARIA ERIKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A34989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.