Ananda Lyra Fidani, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA22526 Issued in CA

Practice address

23622 Calabasas Rd
Suite 339
Calabasas, CA 91302-1549

Phone

(818) 225-0117

Fax

(818) 225-0127

NPI assigned

Sep 11, 2012

Last updated

Oct 7, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Anna D Guanche MD Inc

  dba Bella Skin Institute Inc

  • Dermatology Physician
  • Calabasas, CA
  • NPI 1902859770
  Medicare reassignment

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1497005029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23622 CALABASAS ROAD",
            "address_2": "SUITE 339",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021594",
            "telephone_number": "818-225-0117",
            "fax_number": "818-225-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23622 CALABASAS RD",
            "address_2": "SUITE 339",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021549",
            "telephone_number": "818-225-0117",
            "fax_number": "818-225-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDANI",
        "first_name": "ANANDA",
        "middle_name": "LYRA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA22526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Joseph Feeley, M.D.
• Robert Feher, M.D.
• Feizbakhsh Dental Corp. (Calabasas Dental Group)
• Shelia Cochran Feldman, LM, CPM, IBCLC
• Kailin Ferrara
• Beth Field, MS,MFCC
• Fifth Optometric Care of California (Wink Optometry)
• Elizabeth Figueroa-Longo, P.A.-C
• Rachel Blossom Fischbach
• Jonathan Ming-Yan Fisher, MD

• Medical Physician Assistant in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.