Active NPI
Surya Kanti Lakhanpal, M.D.
- Family Medicine Physician
- La Verne, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 168504
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528703733 | Medicaid | CA |
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
Enrollment records 1
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
Practice addresses (Care Compare)
2333 Foothill Blvd
La Verne, CA 91750-3027
Phone (909) 392-6501
Hospital & facility affiliations
- Pomona Valley Hospital Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168504 | CA | MD | Family Medicine Physician |
| S2624 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Family Medicine Associates, Inc | Family Medicine | Current | Accepting new patients |
| Premier Family Medicine Associates, Inc | Family Medicine | Current | 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.
-
- Health Service Clinic/Center
- Pomona, CA
- NPI 1912907114
Family Medicine
-
- Health Service Clinic/Center
- La Verne, CA
- NPI 1033634373
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1407813660
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.