Organization Active NPI

Lars Anker M.D. a Medical Corporation

  • Neurological Surgery Physician
  • Orange, CA
National Provider Identifier
1336404235
Registry record updated Jul 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A90065 Issued in CA
Legal business name
LARS ANKER M.D. A MEDICAL CORPORATION
Practice address
1310 W Stewart Dr
Suite 410
Orange, CA 92868-3854
Phone
(714) 919-7661
Fax
(714) 639-4105
NPI assigned
Jul 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2012

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

Authorized official

Name
Lars Anker, M.D.NPI 1962548537
Title
President
Phone
(717) 919-7661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X A90065 CA Primary

Addresses

Primary practice location

1310 W Stewart Dr
Suite 410
Orange, CA 92868-3854

Mailing address

1310 W Stewart Dr
Suite 410
Orange, CA 92868-3854
Phone (714) 919-7661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120820000907 CA Part B Supplier - Clinic/Group Practice 3476700881 Receives reassigned benefits from 2 practitioners
Practice locations: Orange, CA

National Provider Directory

National Provider Directory

Locations

1310 W Stewart Dr
Ste 212
Orange, CA 92868
Phone (714) 543-8911

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341619200000",
    "number": "1336404235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR",
            "address_2": "SUITE 410",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683854",
            "telephone_number": "714-919-7661",
            "fax_number": "714-639-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR",
            "address_2": "SUITE 410",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683854",
            "telephone_number": "714-919-7661",
            "fax_number": "714-639-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARS ANKER M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-07",
        "last_updated": "2012-07-07",
        "status": "A",
        "authorized_official_last_name": "ANKER",
        "authorized_official_first_name": "LARS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-919-7661",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A90065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.