Active NPI
John W Annable, M.D.
- Family Medicine Physician
- Torrance, CA
National Provider Identifier
1790790475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C30935
- Practice address
- 20911 Earl St
Ste 440
Torrance, CA 90503-4352 - Phone
- (310) 542-0455
- Fax
- (310) 542-1303
- NPI assigned
- Jul 30, 2006
- Last updated
- Sep 16, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C30935 | CA | Primary |
Addresses
Primary practice location
20911 Earl St
Ste 440
Torrance, CA 90503-4352
Mailing address
20911 Earl St
Ste 440
Torrance, CA 90503-4352
Phone (310) 542-0455
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 |
|---|---|---|---|
| C30935 | CA | MD | Family Medicine Physician |
| 30935 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Institute | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- jannable196706@oc.providencedirect.org
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 Providence Little Company of Mary Medical Institute
- Family Medicine Physician
- Torrance, CA
- NPI 1760425862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1790790475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20911 EARL ST",
"address_2": "STE 440",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034352",
"telephone_number": "310-542-0455",
"fax_number": "310-542-1303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20911 EARL ST",
"address_2": "STE 440",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034352",
"telephone_number": "310-542-0455",
"fax_number": "310-542-1303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANNABLE",
"first_name": "JOHN",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C30935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.