Active NPI
Anisha Jivraj, STUDENT
- Internal Medicine Physician
- Huntington Beach, CA
National Provider Identifier
1649732579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A178424
- Practice address
- 5341 Warner Ave
Huntington Beach, CA 92649-4078 - Phone
- (714) 477-8490
- NPI assigned
- Apr 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | A178424 | CA | Primary |
Addresses
Primary practice location
5341 Warner Ave
Huntington Beach, CA 92649-4078
Mailing address
5341 Warner Ave
Huntington Beach, CA 92649-4078
Phone (714) 477-8490
Other practice location 1
450 Stanyan St
San Francisco, CA 94117-1019
Phone (415) 750-5942
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5341 Warner Ave
Huntington Beach, CA 92649-4078
Phone (714) 477-8490
Hospital & facility affiliations
- Hoag Home Health
- Hoag Memorial Hospital Presbyterian
- Memorialcare Long Beach Medical Center
- Memorialcare Orange Coast Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.51 of 100
- Quality
- 84.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.24
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A178424 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoag Clinic | Single Specialty | Current | Accepting new patients |
| Hoag Hospital | Past | Accepting new patients |
Locations
5341 Warner Ave
Huntington Beach, CA 92649
Phone (714) 477-8450
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533
Interoperability endpoints
- https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1689864365
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newport Beach, CA
- NPI 1174192892
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1649732579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5341 WARNER AVE",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926494078",
"telephone_number": "714-477-8490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5341 WARNER AVE",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926494078",
"telephone_number": "714-477-8490"
}
],
"practiceLocations": [
{
"address_1": "450 Stanyan St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941171019",
"country_code": "US",
"telephone_number": "415-750-5942",
"fax_number": "415-750-5594",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIVRAJ",
"first_name": "ANISHA",
"credential": "STUDENT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-01",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A178424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.