NPIMap

Individual provider Active NPI

Vincent Luvern Anthony, M.D., M.P.H.

  • Nephrology Physician
  • Los Angeles, CA
National Provider Identifier
1396851903
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A96566 Issued in CA
Practice address
1711 W Temple St
Suite 7200
Los Angeles, CA 90026-5421
Phone
(888) 522-7311
Fax
(213) 484-1948
NPI assigned
Aug 23, 2006
Last updated
Nov 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A96566 CA Primary

Addresses

Primary practice location

1711 W Temple St
Suite 7200
Los Angeles, CA 90026-5421

Mailing address

1711 W Temple St Ste 7200
Los Angeles, CA 90026-5421
Phone (213) 484-4929

Other identifiers 1

IdentifierTypeStateIssuer
A96566OtherCACALIFORNIA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070327000724 CA Practitioner - NephrologyPractitioner - Internal Medicine 9638072630 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians

Practice addresses (Care Compare)

1127 Wilshire Blvd
Suite 1509
Los Angeles, CA 90017-4006
Phone (213) 484-4929

1805 Medical Ctr Dr
San Bernardino, CA 92411-1217
Phone (909) 887-6333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
K Care Ipa Current Accepting new patients
Kidney Care Institute Inc Nephrology CurrentSince May 26, 2010 Accepting new patients
K Care Ipa Nephrology Current Accepting new patients
Inpatient Specialists of California, PC CurrentSince May 7, 2024 Accepting new patients
Dignity Community Care Past Accepting new patients
Brandon Hma LLC Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Los Angeles Multispecialty Medical Group Nephrology Past Accepting new patients
Advanced Community Medical Care Corporation Nephrology Past Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1127 Wilshire Blvd
#7509
Los Angeles, CA 90017

1127 Wilshire Blvd
Ste 1509
Los Angeles, CA 90017
Phone (213) 482-8600

1711 W Temple St
Ste 7200
Los Angeles, CA 90026
Phone (213) 481-1241

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1396851903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST STE 7200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-484-4929",
            "fax_number": "213-484-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "address_2": "SUITE 7200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "888-522-7311",
            "fax_number": "213-484-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "VINCENT",
        "middle_name": "LUVERN",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A96566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE",
            "identifier": "A96566",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.