Active NPI
Anthony A Virella, MD PROFESSIONAL CORP
- Neurological Surgery Physician
- Agoura Hills, CA
National Provider Identifier
1750390191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- A72225
- Practice address
- 30300 Agoura Road
Suite 170
Agoura Hills, CA 91301 - Phone
- (805) 449-0088
- Fax
- (805) 449-0046
- NPI assigned
- Aug 5, 2006
- Last updated
- Feb 4, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | A72225 | CA | Primary |
Addresses
Primary practice location
30300 Agoura Road
Suite 170
Agoura Hills, CA 91301
Mailing address
PO Box 6788
Westlake Village, CA 91359
Phone (805) 449-0088
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A72225 | CA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosurgical Associates, LTD | Neurological Surgery | Past | Accepting new patients |
Interoperability endpoints
- anthony.virella@3166.securemail.prognocis.com
Organizations & group practices 1
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.
-
dba Barrow Brain and Spine
- Neurological Surgery Physician
- Phoenix, AZ
- NPI 1043202484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1750390191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6788",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "91359",
"telephone_number": "805-449-0088",
"fax_number": "805-449-0046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30300 AGOURA ROAD",
"address_2": "SUITE 170",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "91301",
"telephone_number": "805-449-0088",
"fax_number": "805-449-0046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRELLA",
"first_name": "ANTHONY",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MD PROFESSIONAL CORP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "A72225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Agoura Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.