Individual provider Active NPI

Ananda P Ananda, M.D,

  • Internal Medicine Physician
  • Oxnard, CA
National Provider Identifier
1912044181
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A35301 Issued in CA
Practice address
2800 S Ventura Rd
Oxnard, CA 93033-4905
Phone
(805) 984-0144
Fax
(805) 487-7445
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A35301 CA Primary

Addresses

Primary practice location

2800 S Ventura Rd
Oxnard, CA 93033-4905

Mailing address

2800 S Ventura Rd
Oxnard, CA 93033-4905
Phone (805) 984-0144

Other identifiers 1

IdentifierTypeStateIssuer
00A353010MedicaidCA

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
I20100924000882 CA Practitioner - Internal Medicine 4183740384 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ananda Prasad Ananda MD Inc Internal Medicine Current Accepting new patients
Channel Islands Family Medical Clinic Internal Medicine CurrentSince Oct 1, 1983 Accepting new patients

Locations

2800 S Ventura Rd
Oxnard, CA 93033
Phone (805) 984-0144

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1912044181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S VENTURA RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930334905",
            "telephone_number": "805-984-0144",
            "fax_number": "805-487-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S VENTURA RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930334905",
            "telephone_number": "805-984-0144",
            "fax_number": "805-487-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANANDA",
        "first_name": "ANANDA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A35301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A353010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.