Individual provider Active NPI

Anand Divyang Trivedi, M.D.

  • Allergy & Immunology Physician
  • Norwalk, CA
National Provider Identifier
1437599495
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A138513 Issued in CA
Practice address
11832 Rosecrans Ave Ste 200
Norwalk, CA 90650-4107
Phone
(562) 864-4500
NPI assigned
Jul 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X A138513 CA Primary
Allergy & Immunology Physician 207K00000X 036139837 IL

Addresses

Primary practice location

11832 Rosecrans Ave Ste 200
Norwalk, CA 90650-4107

Mailing address

11832 Rosecrans Ave Ste 200
Norwalk, CA 90650-4107
Phone (562) 864-4500

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
I20211124001597 CA Practitioner - Allergy/Immunology 5698065498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Asthma Sinusitis Medical Clinic IncGroup PAC ID 3173885696, 3 clinicians

Practice addresses (Care Compare)

11832 Rosecrans Ave
Suite 200
Norwalk, CA 90650-8123
Phone (562) 864-4500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A138513CAMDAllergy & Immunology Physician
036139837ILMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Asthma Sinusitis Medical Clinic Inc CurrentSince Oct 1, 2021 Accepting new patients
Alta Los Angeles Hospital, Inc PastSince Dec 15, 2019 Accepting new patients

Locations

11832 Rosecrans Ave
Ste 200
Norwalk, CA 90650
Phone (562) 864-4500

180 W Willow St
Pomona, CA 91768

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1372896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1437599495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11832 ROSECRANS AVE STE 200",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504107",
            "telephone_number": "562-864-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11832 ROSECRANS AVE STE 200",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504107",
            "telephone_number": "562-864-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "ANAND",
        "middle_name": "DIVYANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-04",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A138513",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036139837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.