Anitha Srinivasa, MD, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A66420 Issued in CA

Legal business name

ANITHA SRINIVASA, MD, INC.

Practice address

425 Haaland Dr
Suite 103
Thousand Oaks, CA 91361-5229

Phone

(805) 374-9905

Fax

(805) 379-0763

NPI assigned

Nov 4, 2008

Organization subpart

No

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

Authorized official

Name

Melissa Nespor

Title

Business Manager

Phone

(805) 374-9905

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Anita Stinivasa MD a Medical Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Anita Srinivasa MD a Medical Corporation

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1346262102
  NPD tax ID
• Anita Stinivasa MD a Medical Corporation

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1316963093
  NPD tax ID

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1265686299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR",
            "address_2": "SUITE 103",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615229",
            "telephone_number": "805-374-9905",
            "fax_number": "805-379-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR",
            "address_2": "SUITE 103",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615229",
            "telephone_number": "805-374-9905",
            "fax_number": "805-379-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANITHA SRINIVASA, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "NESPOR",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "805-374-9905"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A66420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A66420A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anthony Mario Antonacci, D.C.
• Charles Joseph Aplin III, A.T.C.

• All providers in Thousand Oaks, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.