Andra Medical Group

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

ANDRA MEDICAL GROUP

Doing business as

The Andra Center

Practice address

3831 Hughes Ave Ste 604
Culver City, CA 90232-6848

Phone

(310) 340-7750

Fax

(310) 876-0651

NPI assigned

Jun 15, 2018

Organization subpart

No

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

Authorized official

Name

Janelle Haider, MD

Title

Owner

Phone

(310) 876-1027

Specialties & licenses 2

Addresses

Other names 1

• The Andra Center Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18698/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1295229086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE STE 604",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326848",
            "telephone_number": "310-340-7750",
            "fax_number": "310-876-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE STE 604",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326848",
            "telephone_number": "310-340-7750",
            "fax_number": "310-876-0651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Canada St",
            "address_purpose": "LOCATION",
            "city": "Ojai",
            "state": "CA",
            "postal_code": "930232521",
            "country_code": "US",
            "telephone_number": "310-279-0504",
            "fax_number": "818-657-0406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANDRA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-876-1027",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Andra Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Anaya
• Ladana Marie Anderson
• Loni Anderson, L.AC.
• McKenna Lise Anderson, MPT
• Deborah Agnes Andorka, LMFT
• David Victor Andreone
• Jamiene Andreozzi
• Michael Andrews
• Daniel Azuka Anene
• Andrew Angel

• Neurology Physician in Culver City, CA
• Providers in Culver City, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.