Individual provider Active NPI

Anita W Hibler, M.D.

  • Specialist
  • Inglewood, CA
National Provider Identifier
1306062476
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C36494 Issued in CA
Practice address
933 Centinela Ave Ste B
Inglewood, CA 90302-1501
Phone
(210) 677-5090
Fax
(310) 677-7302
NPI assigned
Apr 17, 2007
Last updated
May 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C36494 CA Primary

Addresses

Primary practice location

933 Centinela Ave Ste B
Inglewood, CA 90302-1501

Mailing address

5920 S Kings Rd
Los Angeles, CA 90056-1627
Phone (323) 299-3895

Other identifiers 1

IdentifierTypeStateIssuer
00C364940MedicaidCA

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
I20130524000580 CA Practitioner - Family Practice 8123266574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12900 Avalon Blvd
Los Angeles, CA 90061-2734
Phone (310) 538-5222

933 Centinela Ave B
Inglewood, CA 90302-1501
Phone (310) 677-5090

933 N Centinela Ave B
Inglewood, CA 90302-1501

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centinela Medical Group Single Specialty CurrentSince Mar 20, 2013 Accepting new patients
Habona Services Past Accepting new patients
Pih Health Good Samaritan Hospital Single Specialty Past Accepting new patients

Locations

508 N Long Beach Blvd
Compton, CA 90221
Phone (310) 537-2273

933 Centinela Ave
#B
Inglewood, CA 90302
Phone (310) 677-5090

12900 Avalon Blvd
Los Angeles, CA 90061
Phone (310) 483-8411

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1306062476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 S KINGS RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561627",
            "telephone_number": "323-299-3895",
            "fax_number": "323-299-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 CENTINELA AVE STE B",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903021501",
            "telephone_number": "210-677-5090",
            "fax_number": "310-677-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBLER",
        "first_name": "ANITA",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C36494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C364940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.