Active NPI
Anna Spivak Sr.
- Specialist
- Los Angeles, CA
National Provider Identifier
1801873336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- HA3437
- Practice address
- 425 S Fairfax Ave
Ste 202
Los Angeles, CA 90036-3148 - Phone
- (323) 933-0363
- Fax
- (323) 933-0363
- NPI assigned
- Dec 27, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | HA3437 | CA | Primary |
Addresses
Primary practice location
425 S Fairfax Ave
Ste 202
Los Angeles, CA 90036-3148
Mailing address
425 S Fairfax Ave
Ste 202
Los Angeles, CA 90036-3148
Phone (323) 933-0363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HA0034370 | Medicaid | CA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HA3437 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1801873336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 S FAIRFAX AVE",
"address_2": "STE 202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363148",
"telephone_number": "323-933-0363",
"fax_number": "323-933-0363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 S FAIRFAX AVE",
"address_2": "STE 202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363148",
"telephone_number": "323-933-0363",
"fax_number": "323-933-0363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIVAK",
"first_name": "ANNA",
"name_prefix": "Mrs.",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "HA3437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HA0034370",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.