Individual provider Active NPI

Rasmikant Shantilal Trivedi, M.D.

  • Anesthesiology Physician
  • Gardena, CA
National Provider Identifier
1750345815
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A51100 Issued in CA
Practice address
1145 W Redondo Beach Blvd
Gardena, CA 90247-3528
Phone
(562) 407-2080
NPI assigned
Apr 14, 2006
Last updated
Feb 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A51100 CA Primary

Addresses

Primary practice location

1145 W Redondo Beach Blvd
Gardena, CA 90247-3528

Mailing address

PO Box 4259
Cerritos, CA 90703-4259
Phone (562) 407-2080

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
I20090725000061 CA Practitioner - Anesthesiology 7315008679 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1145 W Redondo Beach Blvd
Gardena, CA 90247-3511
Phone (310) 532-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51100CAMDMarriage & Family Therapist
A51100CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Anesthesia Medical Group Anesthesiology CurrentSince Jun 6, 2022 Accepting new patients
Gardena Anesthesia Medical Services Inc Anesthesiology CurrentSince Feb 1, 2008 Accepting new patients

Locations

2271 W Malvern Ave
Fullerton, CA 92833
Phone (562) 773-4243

1145 W Redondo Beach Blvd
Gardena, CA 90247
Phone (310) 532-4200

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

14120 Alondra Blvd
Ste C
Santa Fe Springs, CA 90670

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1750345815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4259",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907034259",
            "telephone_number": "562-407-2080",
            "fax_number": "562-407-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473528",
            "telephone_number": "562-407-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "RASMIKANT",
        "middle_name": "SHANTILAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A51100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

Verify at the official NPI Registry.