Active NPI
Anita Mathoni, MD
- Pediatric Anesthesiology Physician
- West Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- G78206
- Practice address
- 8700 Beverly Blvd
Suite 8211
West Hollywood, CA 90048-1804 - Phone
- (213) 637-3703
- Fax
- (213) 639-0797
- NPI assigned
- Jul 8, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G78206 | CA | |
| Pediatric Anesthesiology Physician | 207LP3000X | G78206 | CA | Primary |
Addresses
Primary practice location
8700 Beverly Blvd
Suite 8211
West Hollywood, CA 90048-1804
Mailing address
3530 Wilshire Blvd
Suite 350
Los Angeles, CA 90010-2328
Phone (213) 637-3703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220715000124 | NH | Practitioner - Anesthesiology | 6709066483 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1992
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Anesthesia Associates of New England PC
Practice addresses (Care Compare)
1 Parkland Dr
Derry, NH 03038-2746
Phone (603) 432-1500
Hospital & facility affiliations
- Parkland Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G78206 | CA | MD | Pediatric Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of New England PC | Anesthesiology | Current | Accepting new patients |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Locations
1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Derry, NH
- NPI 1861950651
Anesthesiology, NH
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Derry, NH
- NPI 1174570683
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1366440885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3530 WILSHIRE BLVD",
"address_2": "SUITE 350",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900102328",
"telephone_number": "213-637-3703",
"fax_number": "213-639-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 BEVERLY BLVD",
"address_2": "SUITE 8211",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900481804",
"telephone_number": "213-637-3703",
"fax_number": "213-639-0797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHONI",
"first_name": "ANITA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-08",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G78206",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "CA",
"license": "G78206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.