Active NPI
Cynthia Laskin Antin, MD
- Anesthesiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A74159
- Practice address
- 757 Westwood PLZ Ste 3325
Los Angeles, CA 90095-2050 - Phone
- (310) 267-3899
- NPI assigned
- Jun 6, 2006
- Last updated
- Jul 15, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A74159 | CA | Primary |
Addresses
Primary practice location
757 Westwood PLZ Ste 3325
Los Angeles, CA 90095-2050
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707
Other practice location 1
1301 20th St
Santa Monica, CA 90404-2050
Phone (310) 584-1905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A741590 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- George Washington University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1328 22ND St
St Johns Hospital
Santa Monica, CA 90404-2091
Phone (310) 477-2465
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A74159 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayside Anesthesia Medical Group | Current | Accepting new patients | |
| UCLA Medical Group | Past | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients | |
| Saint John Hospital, Inc | Past | Accepting new patients |
Locations
16311 Ventura Blvd
Ste 580
Encino, CA 91436
Phone (805) 969-5500
1328 22nd St
Santa Monica, CA 90404
Phone (310) 829-5511
Interoperability endpoints
- cantin58398@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine (Anesthesiology) Physician
- Santa Monica, CA
- NPI 1184668469
-
dba UCLA Dept of Medicine
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
-
- General Acute Care Hospital
- Leavenworth, KS
- NPI 1295735397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563148800000",
"number": "1467491365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "310-301-8707",
"fax_number": "310-301-8751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 WESTWOOD PLZ STE 3325",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900952050",
"telephone_number": "310-267-3899"
}
],
"practiceLocations": [
{
"address_1": "1301 20th St",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904042050",
"country_code": "US",
"telephone_number": "310-584-1905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANTIN",
"first_name": "CYNTHIA",
"middle_name": "LASKIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2019-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A74159",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A741590",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.