Active NPI
Chizobam Onyedinma Ani, M.D.
- Internal Medicine Physician
- Mission Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A126732
- Practice address
- 11333 Sepulveda Blvd
Mission Hills, CA 91345-1116 - Phone
- (818) 365-9531
- Fax
- (818) 837-5741
- NPI assigned
- Apr 15, 2011
- Last updated
- Dec 10, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A126732 | CA | Primary |
| 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
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
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11333 Sepulveda Blvd
Mission Hills, CA 91345-1116
Phone (818) 365-9531
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A126732 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | 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 |
| Healthcare Partners Affiliates Medical Group | 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
Organizations & group practices 6
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.
-
dba Facey Medical Group
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1184663965
-
dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
dba Facey Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Mission Hills, CA
- NPI 1194083824
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Holy Cross Medical Center
- General Acute Care Hospital
- Mission Hills, CA
- NPI 1477587632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418169600000",
"number": "1497045017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9602",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913469602",
"telephone_number": "818-837-5559",
"fax_number": "818-792-4793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11333 SEPULVEDA BLVD",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913451116",
"telephone_number": "818-365-9531",
"fax_number": "818-837-5741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANI",
"first_name": "CHIZOBAM ONYEDINMA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-15",
"last_updated": "2014-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A126732",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "A126732",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.