Active NPI
Ann Prema Verma, M.D.
- Child & Adolescent Psychiatry Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- A155456
- Practice address
- 6500 Wilshire Blvd FL 19
Los Angeles, CA 90048-4920 - Phone
- (805) 764-9651
- Fax
- (805) 855-4771
- NPI assigned
- Jul 24, 2012
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A155456 | CA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | A155456 | CA | Primary |
Addresses
Primary practice location
6500 Wilshire Blvd FL 19
Los Angeles, CA 90048-4920
Mailing address
3400 Cottage Way Ste G
Sacramento, CA 95825-1474
Phone (805) 764-9651
Other practice location 1
3400 Cottage Way Ste G
Sacramento, CA 95825-1474
Phone (714) 787-6377
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
- Psychiatry
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
29751 Niguel Rd
Aptg
Laguna Niguel, CA 92677-5022
PO Box
Suite 451249
Los Angeles, CA 90045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A155456 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ehab Yacoub MD Inc. | Child & Adolescent Psychiatry | Current | Accepting new patients |
| Pacific Heritage Medical Group Inc | Current | Accepting new patients | |
| Amen Clinics, Inc | Past | Accepting new patients |
Locations
10601 Walker St
Cypress, CA 90630
Phone (714) 656-2130
1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113
17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929
1410 Neotomas Ave
Fl 2
Santa Rosa, CA 95405
Phone (415) 608-6173
1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333
3625 E Thousand Oaks Blvd
Ste 232
Westlake Village, CA 91362
Phone (818) 518-9715
Organizations & group practices 3
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.
-
- Child & Adolescent Psychiatry Physician
- Gardena, CA
- NPI 1417373713
-
- Geriatric Psychiatry Physician
- Westlake Village, CA
- NPI 1467899450
-
- Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
- Costa Mesa, CA
- NPI 1568865301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1902152242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 COTTAGE WAY STE G",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958251474",
"telephone_number": "805-764-9651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 WILSHIRE BLVD FL 19",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484920",
"telephone_number": "805-764-9651",
"fax_number": "805-855-4771"
}
],
"practiceLocations": [
{
"address_1": "3400 Cottage Way Ste G",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958251474",
"country_code": "US",
"telephone_number": "714-787-6377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERMA",
"first_name": "ANN",
"middle_name": "PREMA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A155456",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A155456",
"primary": true
}
],
"identifiers": [],
"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 Jan 13, 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.