Individual provider Active NPI

Anhtu H. La, M.D.

  • Anesthesiology Physician
  • Fountain Valley, CA
National Provider Identifier
1265413165
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G82125 Issued in CA
Practice address
9920 Talbert Ave
Fountain Valley, CA 92708-5153
Phone
(714) 378-7000
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G82125 CA Primary

Addresses

Primary practice location

9920 Talbert Ave
Fountain Valley, CA 92708-5153

Mailing address

210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (800) 883-7243

Other identifiers 1

IdentifierTypeStateIssuer
00G821250MedicaidCA

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
I20050718000691 CA Practitioner - Anesthesiology 9537196951 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Wisconsin, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Socal Anesthesia Solutions IncGroup PAC ID 0042607426, 46 clinicians
Talbert Anesthesia Group IncorporatedGroup PAC ID 6406171461, 27 clinicians

Practice addresses (Care Compare)

18111 Brookburst St
Fountain Valley, CA 92708-6728
Phone (714) 378-7000

7677 Ctr Ave
Suite 104
Huntington Beach, CA 92647-3030
Phone (714) 881-8700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Talbert Anesthesia Group Incorporated Anesthesiology CurrentSince Jan 1, 2015 Accepting new patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Mar 1, 2026 Accepting new patients
Socal Anesthesia Solutions, Inc Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients
Anh Tu la MD Inc Anesthesiology PastSince Jan 1, 1990 Accepting new patients

Locations

18111 Brookhurst St
#3200
Fountain Vly, CA 92708
Phone (714) 369-1100

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

18111 Brookhurst St
Fountain Vly, CA 92708
Phone (714) 369-1100

18111 Brookhurst St
Ste 3200
Fountain Vly, CA 92708
Phone (714) 369-1100

7677 Center Ave
Ste 104
Huntington Beach, CA 92647
Phone (714) 881-8700

24331 El Toro Rd
Ste 150
Laguna Woods, CA 92637
Phone (949) 855-0562

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1265413165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "800-883-7243",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 TALBERT AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-378-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA",
        "first_name": "ANHTU",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G82125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G821250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.