Individual provider Active NPI

Surya Kanti Lakhanpal, M.D.

  • Family Medicine Physician
  • La Verne, CA
National Provider Identifier
1760838536
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
168504 Issued in CA
Practice address
2333 Foothill Blvd Ste B
La Verne, CA 91750-3027
Phone
(909) 392-6501
Fax
(909) 469-2136
NPI assigned
May 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 168504 CA Primary
Family Medicine Physician 207Q00000X S2624 TX

Addresses

Primary practice location

2333 Foothill Blvd Ste B
La Verne, CA 91750-3027

Mailing address

2333 Foothill Blvd Ste B
La Verne, CA 91750-3027
Phone (909) 392-6501

Other identifiers 1

IdentifierTypeStateIssuer
1528703733MedicaidCA

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
I20200605002046 CA Practitioner - Family Practice 6709173503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Premier Family Medicine Associates, IncGroup PAC ID 4284547522, 65 clinicians

Practice addresses (Care Compare)

2333 Foothill Blvd
La Verne, CA 91750-3027
Phone (909) 392-6501

Hospital & facility affiliations

  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
168504CAMDFamily Medicine Physician
S2624TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medicine Associates, Inc Family Medicine Current Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine CurrentSince Jul 1, 2020 Accepting new patients

Locations

1601 Monte Vista Ave
Ste 260
Claremont, CA 91711
Phone (909) 450-1571

2333 Foothill Blvd
La Verne, CA 91750
Phone (909) 392-6501

2333 Foothill Blvd
Ste C
La Verne, CA 91750
Phone (909) 392-6511

2333 Foothill Blvd
Ste B
La Verne, CA 91750
Phone (909) 392-6501

1770 N Orange Grove Ave
Ste 101
Pomona, CA 91767

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.

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": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1760838536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 FOOTHILL BLVD STE B",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503027",
            "telephone_number": "909-392-6501",
            "fax_number": "909-469-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 FOOTHILL BLVD STE B",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503027",
            "telephone_number": "909-392-6501",
            "fax_number": "909-469-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKHANPAL",
        "first_name": "SURYA",
        "middle_name": "KANTI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "168504",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S2624",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528703733",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Verne, CA

Sources for this page

Verify at the official NPI Registry.