Individual provider Active NPI

Maija Brooke Sanna, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1417101809
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A102720 Issued in CA
Practice address
757 Westwood PLZ
RR UCLA Medical Center, Housestaff Mailroom, Room B-711
Los Angeles, CA 90095-8358
Phone
(310) 319-4377
Fax
(310) 319-4425
NPI assigned
Nov 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A102720 CA Primary

Addresses

Primary practice location

757 Westwood PLZ
RR UCLA Medical Center, Housestaff Mailroom, Room B-711
Los Angeles, CA 90095-8358

Mailing address

757 Westwood PLZ
RR UCLA Medical Center, Housestaff Mailroom, Room B-711
Los Angeles, CA 90095-8358
Phone (310) 825-7375

Other identifiers 1

IdentifierTypeStateIssuer
1417101809MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915001033 CA Practitioner - Internal Medicine 9234254129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 1355248584, 1,426 clinicians

Practice addresses (Care Compare)

2020 Santa Monica Blvd
Santa Monica, CA 90404-2023
Phone (310) 458-2381

Hospital & facility affiliations

  • Sierra Home Healthcare Services, Inc Home health agency, Los Angeles, CA, CCN 058242
  • Affection Home Health Inc Home health agency, Manhattan Beach, CA, CCN 757162
  • Sunny Days Home Care, Inc. Home health agency, Glendale, CA, CCN 757017
  • Providence Home Health la County South Home health agency, Torrance, CA, CCN 557447
  • La Vida Home Health, Inc. Home health agency, Burbank, CA, CCN 757075
  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262
  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112
  • Providence Little Company of Mary Med Ctr Torrance Hospital, Torrance, CA, CCN 050353

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A102720CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Internal Medicine CurrentSince Jul 5, 2010 Accepting new patients
The Regents of the University of California CurrentSince Jul 5, 2010 Accepting new patients
The Regents of the University of California Past Accepting new patients
UCLA Medical Group Internal Medicine Past Accepting new patients

Locations

757 Westwood Plz
Rm B711
Los Angeles, CA 90095
Phone (310) 825-6643

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55737
Los Angeles, CA 90074

501 Deep Valley Dr
Ste 100
Rolling Hills Estates, CA 90274
Phone (310) 303-3953

2020 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 458-2381

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

3500 Lomita Blvd
Ste 300
Torrance, CA 90505
Phone (310) 257-0028

Interoperability endpoints

  • Direct secure messaging: msanna48687@direct.uclahealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1417101809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "address_2": "RR UCLA MEDICAL CENTER, HOUSESTAFF MAILROOM, ROOM B-711",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958358",
            "telephone_number": "310-825-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "address_2": "RR UCLA MEDICAL CENTER, HOUSESTAFF MAILROOM, ROOM B-711",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958358",
            "telephone_number": "310-319-4377",
            "fax_number": "310-319-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANNA",
        "first_name": "MAIJA",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A102720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417101809",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.