Active NPI
Anita L Nelson, M.D.
- Obstetrics & Gynecology Physician
- Torrance, CA
National Provider Identifier
1629009139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G49311
- Practice address
- 21840 Normandie Ave
Ste. 1100
Torrance, CA 90502-2047 - Phone
- (310) 222-5125
- Fax
- (310) 328-5731
- NPI assigned
- Jul 5, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G49311 | CA | Primary |
Addresses
Primary practice location
21840 Normandie Ave
Ste. 1100
Torrance, CA 90502-2047
Mailing address
21840 Normandie Ave
Ste. 1100
Torrance, CA 90502-2047
Phone (310) 222-5125
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA6447 | Other | CA | RAILROAD MEDICARE |
| W14940 | Other | CA | GROUP |
| P00686006 | Other | CA | RAILROAD PTAN |
| 00A493110 | Medicaid | CA | |
| CH1382 | Other | CA | RAILROAD MEDICARE |
| M050376 | Other | CA | GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G49311 | CA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242086400000",
"number": "1629009139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21840 NORMANDIE AVE",
"address_2": "STE. 1100",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022047",
"telephone_number": "310-222-5125",
"fax_number": "310-328-5731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21840 NORMANDIE AVE",
"address_2": "STE. 1100",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022047",
"telephone_number": "310-222-5125",
"fax_number": "310-328-5731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ANITA",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2009-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G49311",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DA6447",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP",
"identifier": "W14940",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD PTAN",
"identifier": "P00686006",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A493110",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CH1382",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP",
"identifier": "M050376",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.