Individual provider Active NPI

Anita Kay Gregory, M.D.

  • Colon & Rectal Surgery Physician
  • Orange, CA
National Provider Identifier
1881655868
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
G74192 Issued in CA
Practice address
1010 W la Veta Ave
Suite 470
Orange, CA 92868-4304
Phone
(714) 835-8300
Fax
(714) 835-8304
NPI assigned
Mar 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X G74192 CA Primary

Addresses

Primary practice location

1010 W la Veta Ave
Suite 470
Orange, CA 92868-4304

Mailing address

1010 W la Veta Ave
Suite 470
Orange, CA 92868-4304
Phone (714) 835-8300

Other identifiers 1

IdentifierTypeStateIssuer
00G741920OtherCABLUE SHIELD

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
I20090602000082 CA Practitioner - Colorectal Surgery (Proctology) 3971652561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Saint Louis University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange Surgical AssociatesGroup PAC ID 8325577208, 7 clinicians

Practice addresses (Care Compare)

1010 W la Veta Ave
Suite 470
Orange, CA 92868-4305
Phone (714) 835-8300

Hospital & facility affiliations

  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy59
Hernia repair - groin (open)1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G74192CAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Surgical Associates CurrentSince Jan 1, 2025 Accepting new patients
Anita K. Gregory, M.D. Apc CurrentSince Feb 12, 2009 Accepting new patients

Locations

3400 W Ball Rd
Ste 208
Anaheim, CA 92804
Phone (714) 761-0759

1010 W La Veta Ave
Ste 470
Orange, CA 92868
Phone (714) 202-5682

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 2

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1881655868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE",
            "address_2": "SUITE 470",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684304",
            "telephone_number": "714-835-8300",
            "fax_number": "714-835-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE",
            "address_2": "SUITE 470",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684304",
            "telephone_number": "714-835-8300",
            "fax_number": "714-835-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "ANITA",
        "middle_name": "KAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "G74192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G741920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.