Aneta Lotakov Prince, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A90370 Issued in CA

Practice address

10605 Balboa Blvd
Suite 100
Granada Hills, CA 91344-6342

Phone

(818) 832-2400

NPI assigned

Mar 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Aneta Marianna Lotakov Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Inle Medical Group

  • Psychiatry Physician
  • Calabasas, CA
  • NPI 1316568348
  NPD
• Ams Neuro Group Inc

  • Psychiatry Physician
  • Northridge, CA
  • NPI 1467135145
  NPD (past)

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295864536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 573304",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913573304",
            "telephone_number": "818-887-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 BALBOA BLVD",
            "address_2": "SUITE 100",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446342",
            "telephone_number": "818-832-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "ANETA",
        "middle_name": "LOTAKOV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A90370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANETA",
            "last_name": "LOTAKOV",
            "middle_name": "MARIANNA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Delmy Maria Portillo, LMFT
• Powerful Diagnostic Imaging
• Preferred Compounding Pharmacy Inc
• Prime Care Health Residence
• Prime Valley Medical Center Inc
• Professional Diagnostic Solutions Inc
• Prompt Medtrans Inc
• Noel Purdy
• Sophia Qadir, DPT
• Quality Express

• Psychiatry Physician in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.