Active NPI
Anita W Hibler, M.D.
- Specialist
- Inglewood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C36494
- 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, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C364940 | Medicaid | CA |
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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centinela Medical Group | Single Specialty | Current | 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.
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Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.