Chizobam Onyedinma Ani, M.D.
Individual provider Active NPI Internal Medicine Physician · Mission Hills, CA
NPI 1497045017 · NPPES record last updated Dec 10, 2014
Key facts
- NPI
- 1497045017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A126732 (CA)
- Practice address
- 11333 Sepulveda Blvd
Mission Hills, CA 91345-1116 - Phone
- (818) 365-9531
- Fax
- (818) 837-5741
- NPI assigned
- Apr 15, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Providence Facey Medical Foundation
Practice addresses (Care Compare)
11333 Sepulveda Blvd
Mission Hills, CA 91345-1116
Phone (818) 365-9531
Hospital & facility affiliations
- Providence Holy Cross Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140910002170 | CA | Practitioner - Internal Medicine | 7214156983 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A126732 | CA | MD | Internal Medicine Physician |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of California, Inc | Internal Medicine | Current |
Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Internal Medicine | Current |
Accepting new patients |
| Providence Facey Medical Foundation | Past | Accepting new patients | |
| Memorial Medical Group Inc | Past | Accepting new patients |
Locations
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623
1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071
1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254
1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225
222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222
347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000
1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803
1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500
215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- cani451330@oc.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A126732 | CA | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X | A126732 | CA |
Addresses
Primary practice location
11333 Sepulveda Blvd
Mission Hills, CA 91345-1116
Mailing address
PO Box 9602
Mission Hills, CA 91346-9602
Phone (818) 837-5559
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A1267320 | Medicaid | CA |
Other providers in Mission Hills, CA
- Marian E Ammari
- Chance R Anderson
- Cherreby Anderson
- Robert Michael Anderson
- Pamela Marie Andronis Murphy
- Anmar Home Health Care Inc
- Raja Sekhar Anne
- Tamar Shoghair Apelian
- Sonya Apinyavat
- Martin Eli Applebaum
All providers in Mission Hills, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.