Michael Louis Anselmo, M.D.

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

G40242 Issued in CA

Practice address

1223 Wilshire Blvd # 704
Santa Monica, CA 90403-5406

Phone

(818) 353-1070

Fax

(818) 353-1057

NPI assigned

Mar 23, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

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  • NPI 1417039942
  NPD (past)
• Stanton H. Joe, M.D., a Professional Corporation

  • Radiology Clinic/Center
  • Glendale, CA
  • NPI 1497935266
  NPD (past)

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1740642263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 WILSHIRE BLVD # 704",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035406",
            "telephone_number": "818-353-1070",
            "fax_number": "818-353-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 WILSHIRE BLVD # 704",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035406",
            "telephone_number": "818-353-1070",
            "fax_number": "818-353-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSELMO",
        "first_name": "MICHAEL",
        "middle_name": "LOUIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": "G40242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inas Anis, NP
• Anna Aslanian Marriage Therapy Inc
• Anna Dabrowska DDS, Inc.
• Anne Lane P. Murray, M.D., Inc.
• Maria Francesca Larissa Anselmo, NP
• Antar Corp
• George Anterasian, MD
• Anthony H. Maister, M.D., Inc.
• Deborah Ann Antone, SLP
• Courtni Antonino

• Health Educator in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Health Educator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.