Individual provider Active NPI

Anjali Ambekar, M.D.

  • Specialist
  • San Jose, CA
National Provider Identifier
1255388054
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OH35-05-2102-A Issued in OH
Practice address
2519 Monte Lindo CT
San Jose, CA 95121-1261
Phone
(408) 612-3693
NPI assigned
May 27, 2006
Last updated
Jul 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OH35-05-2102-A OH Primary

Addresses

Primary practice location

2519 Monte Lindo CT
San Jose, CA 95121-1261

Mailing address

2519 Monte Lindo CT
San Jose, CA 95121-1261
Phone (408) 612-3693

Other identifiers 1

IdentifierTypeStateIssuer
0645976MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
Lima Memorial Professional Corporation Specialist Past Accepting new patients
Dr Munir Ahmad MD LTD Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1255388054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 MONTE LINDO CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211261",
            "telephone_number": "408-612-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 MONTE LINDO CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211261",
            "telephone_number": "408-612-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBEKAR",
        "first_name": "ANJALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "OH35-05-2102-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0645976",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.