Individual provider Active NPI

Ankona Ghosh, MD

  • Otolaryngology Physician
  • Los Angeles, CA
National Provider Identifier
1427341577
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A142915 Issued in CA
Practice address
8631 W 3Rd St # 915E
Los Angeles, CA 90048-5901
Phone
(310) 423-1220
NPI assigned
May 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MT199727 PA
Student in an Organized Health Care Education/Training Program 390200000X MT199727 PA
Otolaryngology Physician 207Y00000X A142915 CA Primary

Addresses

Primary practice location

8631 W 3Rd St # 915E
Los Angeles, CA 90048-5901

Mailing address

PO Box 10069
San Bernardino, CA 92423-0069

Other practice location 1

7000 Boulder Ave
Highland, CA 92346-3348
Phone (909) 786-0725

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
I20160830001156 CA Practitioner - Otolaryngology 0749587251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Perelman School of Med at the University of Pennsylvania, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

8631 W 3Rd St
Suite 510
Los Angeles, CA 90048-5909
Phone (310) 385-3380

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A142915CAMDOtolaryngology Physician
MT199727PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Jan 2, 2023 Accepting new patients
Beaver Medical Group P C CurrentSince Aug 15, 2016 Accepting new patients
Beaver Medical Group P C CurrentSince Aug 15, 2016 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jan 2, 2023 Accepting new patients
Beaver Medical Group P C Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Redlands Community Hospital Past Accepting new patients

Locations

7000 Boulder Ave
Highland, CA 92346

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

8631 W 3rd St
Ste 510
Los Angeles, CA 90048
Phone (310) 278-1490

8635 W 3rd St
Ste 590W
Los Angeles, CA 90048
Phone (310) 423-1220

8631 W 3rd St
#915E
Los Angeles, CA 90048
Phone (310) 423-8372

8631 W 3rd St
Ste 915E
Los Angeles, CA 90048
Phone (310) 423-3063

259 Terracina Blvd
Redlands, CA 92373
Phone (909) 328-5400

2 W Fern Ave
Redlands, CA 92373
Phone (909) 786-0725

1615 Orange Tree Ln
Redlands, CA 92374
Phone (909) 583-2741

2 W Fern Ave
#1112
Redlands, CA 92373

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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 3

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": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1427341577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10069",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924230069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST # 915E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-423-1220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 Boulder Ave",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "CA",
            "postal_code": "923463348",
            "country_code": "US",
            "telephone_number": "909-786-0725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOSH",
        "first_name": "ANKONA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MT199727",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT199727",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A142915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.