Individual provider Active NPI

Anamaria McElrath-Garza, M.D.

  • Colon & Rectal Surgery Physician
  • Glendale, CA
National Provider Identifier
1720289044
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
A80420 Issued in CA
Practice address
222 W Eulalia St
Suite 100a
Glendale, CA 91204-2849
Phone
(818) 244-8161
Fax
(818) 244-5122
NPI assigned
May 31, 2007
Last updated
May 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A80420 CA
Colon & Rectal Surgery Physician 208C00000X A80420 CA Primary

Addresses

Primary practice location

222 W Eulalia St
Suite 100a
Glendale, CA 91204-2849

Mailing address

222 W Eulalia St
Suite 100a
Glendale, CA 91204-2849
Phone (818) 244-8161

Other identifiers 1

IdentifierTypeStateIssuer
1720289044MedicaidCA

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
I20050707000716 CA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 6507802907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
University of Southern California Keck School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Petar Vukasin M D IncGroup PAC ID 3577732072, 3 clinicians

Practice addresses (Care Compare)

222 W Eulalia St
Suite 100a
Glendale, CA 91204-2850
Phone (818) 244-8161

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy39
Hernia repair - groin (open)1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A80420CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Petar Vukasin M D Inc Surgery CurrentSince Jul 1, 2011 Accepting new patients
Dignity Health Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients

Locations

301 W Huntington Dr
Ste 618
Arcadia, CA 91007
Phone (626) 396-8150

222 W Eulalia St
Ste 100A
Glendale, CA 91204
Phone (818) 244-8161

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1720289044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W EULALIA ST",
            "address_2": "SUITE 100A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042849",
            "telephone_number": "818-244-8161",
            "fax_number": "818-244-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W EULALIA ST",
            "address_2": "SUITE 100A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042849",
            "telephone_number": "818-244-8161",
            "fax_number": "818-244-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELRATH-GARZA",
        "first_name": "ANAMARIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A80420",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "A80420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720289044",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.