Individual provider Active NPI

Christina Marie Menor, M.D.

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1770765836
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A105833 Issued in CA
Practice address
1300 N Vermont Ave
Los Angeles, CA 90027-6005
Phone
(213) 413-3000
Fax
(714) 647-1245
NPI assigned
Nov 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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 A105833 CA Primary

Addresses

Primary practice location

1300 N Vermont Ave
Los Angeles, CA 90027-6005

Mailing address

210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (714) 347-1010

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
I20110720000533 CA Practitioner - Anesthesiology 8820266737 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Arizona College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Quality Care Anesthesia Consultants IncGroup PAC ID 3779706874, 21 clinicians

Practice addresses (Care Compare)

5700 San Fernando Rd
Glendale, CA 91202-2104
Phone (818) 688-0886

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105833CAMDMarriage & Family Therapist
A105833CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HP Anesthesia Inc Anesthesiology CurrentSince May 1, 2014 Accepting new patients
La Quality Care Anesthesia Consultants Inc Anesthesiology CurrentSince Apr 13, 2014 Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
Shriners Hospitals for Children CurrentSince Oct 1, 2022 Accepting new patients
Shriners Hospitals for Children CurrentSince Oct 1, 2022 Accepting new patients

Locations

1500 E Chevy Chase Dr
Ste 101
Glendale, CA 91206
Phone (818) 688-0886

5700 San Fernando Rd
Glendale, CA 91202
Phone (818) 637-7766

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

11645 Wilshire Blvd
Ste 987
Los Angeles, CA 90025
Phone (310) 289-8600

73950 Alessandro Dr
Ste 1
Palm Desert, CA 92260
Phone (760) 568-5381

909 S Fair Oaks Ave
Pasadena, CA 91105
Phone (213) 388-3151

210 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 347-1000

Organizations & group practices 5

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": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1770765836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "714-347-1010",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276005",
            "telephone_number": "213-413-3000",
            "fax_number": "714-647-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENOR",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A105833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.