Active NPI
Levita Herrella, MD
- Anesthesiology Physician
- Los Angeles, CA
National Provider Identifier
1720155807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A34276
- Practice address
- 531 W College St
Los Angeles, CA 90012-2315 - Phone
- (213) 624-8411
- Fax
- (213) 624-8411
- NPI assigned
- Nov 30, 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A34276 | CA | Primary |
Addresses
Primary practice location
531 W College St
Los Angeles, CA 90012-2315
Mailing address
658 S Sycamore Ave
Los Angeles, CA 90036-3504
Phone (323) 937-4383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A342760 | Medicaid | CA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238112000000",
"number": "1720155807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "658 S SYCAMORE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363504",
"telephone_number": "323-937-4383",
"fax_number": "323-937-4383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 W COLLEGE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900122315",
"telephone_number": "213-624-8411",
"fax_number": "213-624-8411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRELLA",
"first_name": "LEVITA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2009-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A34276",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A342760",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.