Individual provider Active NPI

Lalitha Ananth, MD

  • Rheumatology Physician
  • Huntington Beach, CA
National Provider Identifier
1679597033
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A40291 Issued in CA
Practice address
17822 Beach Blvd
442
Huntington Beach, CA 92647-7509
Phone
(714) 549-4081
Fax
(714) 434-7660
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A40291 CA Primary

Addresses

Primary practice location

17822 Beach Blvd
442
Huntington Beach, CA 92647-7509

Mailing address

17822 Beach Blvd
442
Huntington Beach, CA 92647-7509
Phone (714) 549-4081

Other identifiers 2

IdentifierTypeStateIssuer
00A02910OtherMEDICAL UPIN
A40291OtherLICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070522000405 CA Practitioner - RheumatologyPractitioner - Internal Medicine 1052418381 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A40291CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Community Health Center, Inc CurrentSince Apr 27, 2021 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Apr 27, 2021 Accepting new patients

Locations

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1679597033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD",
            "address_2": "442",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477509",
            "telephone_number": "714-549-4081",
            "fax_number": "714-434-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD",
            "address_2": "442",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477509",
            "telephone_number": "714-549-4081",
            "fax_number": "714-434-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANANTH",
        "first_name": "LALITHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A40291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL UPIN",
            "identifier": "00A02910",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A40291",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.