Active NPI
Gautam Mohan Anand, M.D.
- Vascular Surgery Physician
- Inglewood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- A188755
- Practice address
- 575 E Hardy St Ste 322
Inglewood, CA 90301-4053 - Phone
- (310) 673-6950
- NPI assigned
- Apr 5, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 310326 | NY | |
| Vascular Surgery Physician | 2086S0129X | A188755 | CA | Primary |
Addresses
Primary practice location
575 E Hardy St Ste 322
Inglewood, CA 90301-4053
Mailing address
575 E Hardy St Ste 322
Inglewood, CA 90301-4053
Phone (310) 673-6950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
575 E Hardy St
Suite 322
Inglewood, CA 90301-4053
Phone (310) 673-6950
Hospital & facility affiliations
- Centinela Hospital Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 115 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A188755 | CA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, PC | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| University Vascular Associates Inc. | Vascular Surgery | Current | Accepting new patients |
Locations
575 E Hardy St
Ste 322
Inglewood, CA 90301
Phone (310) 671-0488
266 S Harvard Blvd
Ste 350
Los Angeles, CA 90004
Phone (213) 444-6255
1082 Glendon Ave
Los Angeles, CA 90024
Phone (310) 209-2011
500 Commack Rd
Unit 150D
Commack, NY 11725
Phone (318) 644-4996
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
48 Route 25A
Ste 303
Smithtown, NY 11787
Phone (631) 382-4833
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 and National Provider Directory roles.
-
- Vascular Surgery Physician
- Los Angeles, CA
- NPI 1225062490
-
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Inglewood, CA
- NPI 1336328244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1356705453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 E HARDY ST STE 322",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903014053",
"telephone_number": "310-673-6950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 E HARDY ST STE 322",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903014053",
"telephone_number": "310-673-6950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANAND",
"first_name": "GAUTAM",
"middle_name": "MOHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-05",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NY",
"license": "310326",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "A188755",
"primary": true
}
],
"identifiers": [],
"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 Aug 29, 2024; 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.