Anita Srinivasa MD a Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A66420 Issued in CA

Legal business name

ANITA SRINIVASA MD A MEDICAL CORPORATION

Practice address

274 1/2 Rampart BL
Los Angeles, CA 90057

Phone

(213) 351-0030

Fax

(213) 388-3833

NPI assigned

Jul 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Anita Srinivasa, M.D.

Title

Owner

Phone

(213) 351-0030

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Anita Stinivasa MD a Medical Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Anita Stinivasa MD a Medical Corporation

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1316963093
  NPD tax ID
• Anitha Srinivasa, MD, Inc.

  • Internal Medicine Physician
  • Thousand Oaks, CA
  • NPI 1265686299
  NPD tax ID

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346262102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 1/2 RAMPART BL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90057",
            "telephone_number": "213-351-0030",
            "fax_number": "213-388-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 1/2 RAMPART BL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90057",
            "telephone_number": "213-351-0030",
            "fax_number": "213-388-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANITA SRINIVASA MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SRINIVASA",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-351-0030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A66420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE",
            "identifier": "A66420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anita Stinivasa MD a Medical Corporation
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• Maral Anjargolian, R. PH.
• Jacqueline Ankamah

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.