Mahendra G Sanathra, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A50182 Issued in CA

Practice address

2015 E. Florence Ave.
Los Angeles, CA 90001-2754

Phone

(323) 581-0000

Fax

(323) 585-4030

NPI assigned

Jun 14, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Family PracticeAlso: General Practice

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Angel Family Practice Medical Group Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1134206436
  NPD (past) Authorized official
• Gardena Hospital LP

  • Institutional Pharmacy
  • Gardena, CA
  • NPI 1669491700
  NPD (past)

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1245525690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 E. FLORENCE AVE.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900012754",
            "telephone_number": "323-581-0000",
            "fax_number": "323-585-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 E. FLORENCE AVE.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900012754",
            "telephone_number": "323-581-0000",
            "fax_number": "323-585-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANATHRA",
        "first_name": "MAHENDRA",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A50182",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A50182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A501821",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A50182",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tifanni Crystal Sanabria
• Virginia Elizabeth Sanabria
• Yas Sanaiha
• Sam Sanandaji, DPM
• Sanare Center
• Amie Neda Sanatkar
• Sanavida Medical Group, Inc.
• Sanaz Parsi DDS Inc
• Sanaz Parsi DDS, Inc
• Stephanie Sanborn, RD

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.