Individual provider Active NPI

Anisbel Hornia Silva, ARNP

  • General Practice Physician
  • South Gate, CA
National Provider Identifier
1740763036
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
NP95010910 Issued in CA
Practice address
4149 Tweedy Blvd
South Gate, CA 90280-6167
Phone
(213) 483-3600
Fax
(213) 483-4555
NPI assigned
Sep 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9417317 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95010910 CA
General Practice Physician 208D00000X NP95010910 CA Primary

Addresses

Primary practice location

4149 Tweedy Blvd
South Gate, CA 90280-6167

Mailing address

6605 Jasper St
Rancho Cucamonga, CA 91701-4551
Phone (818) 967-4274

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220412001352 CA Practitioner - Nurse Practitioner 3678969052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
High Desert Psychological ServicesGroup PAC ID 2860819125, 82 clinicians
Samaritana Medical Clinic,Inc.Group PAC ID 0749370989, 12 clinicians

Practice addresses (Care Compare)

15497 W Sand St
Victorville, CA 92392-2910
Phone (442) 327-9311

510 S Alvarado St
Los Angeles, CA 90057-2904
Phone (213) 483-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95010910CAMDGeneral Practice Physician
9417317FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Psychological Services CurrentSince Dec 18, 2023 Accepting new patients
Samaritana Medical Clinic,Inc. CurrentSince Jan 1, 2022 Accepting new patients

Locations

510 S Alvarado St
Los Angeles, CA 90057
Phone (213) 483-3600

4149 Tweedy Blvd
Ste B
South Gate, CA 90280
Phone (323) 564-4545

15497 W Sand St
Victorville, CA 92392
Phone (442) 327-9311

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": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1740763036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 JASPER ST",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917014551",
            "telephone_number": "818-967-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4149 TWEEDY BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806167",
            "telephone_number": "213-483-3600",
            "fax_number": "213-483-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNIA SILVA",
        "first_name": "ANISBEL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9417317",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95010910",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "NP95010910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Gate, CA

Sources for this page

Verify at the official NPI Registry.