Active NPI
Robert Roy Anavian, D.P.M.
- Podiatrist
- Torrance, CA
National Provider Identifier
1932137452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3576
- Practice address
- 23456 Hawthorne Blvd
Suite 270
Torrance, CA 90505-4716 - Phone
- (310) 375-1417
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E3576 | CA | Primary |
Addresses
Primary practice location
23456 Hawthorne Blvd
Suite 270
Torrance, CA 90505-4716
Mailing address
23456 Hawthorne Blvd
Suite 270
Torrance, CA 90505-4716
Phone (310) 375-1417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E35760 | Medicaid | CA |
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: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050801000329 | CA | Practitioner - Podiatry | 9436187408 | Practice locations: Torrance, CA |
| O20100930068085 | CA | DME Supplier - Physician - Podiatry | 5294855045 | Practice locations: Torrance, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
23456 Hawthorne Blvd
Suite 270
Torrance, CA 90505-4779
Phone (310) 415-2984
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 393 |
| Removal or shaving of skin growth | 314 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3576 | CA | MD | Podiatrist |
| 3576 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Anavian, DPM | Podiatrist | Past | Accepting new patients |
| Robert Anavian, D.P.M. | Podiatrist | Past | Accepting new patients |
| Torrance Memorial Medical Center | Past | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Podiatrist
- Torrance, CA
- NPI 1356555619
-
- Podiatrist
- West Hollywood, CA
- NPI 1184839847
-
- Psychiatric Hospital Unit
- San Pedro, CA
- NPI 1154349371
-
- Skilled Nursing Facility
- Torrance, CA
- NPI 1740268713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215734400000",
"number": "1932137452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23456 HAWTHORNE BLVD",
"address_2": "SUITE 270",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905054716",
"telephone_number": "310-375-1417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23456 HAWTHORNE BLVD",
"address_2": "SUITE 270",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905054716",
"telephone_number": "310-375-1417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANAVIAN",
"first_name": "ROBERT",
"middle_name": "ROY",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2008-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E3576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E35760",
"state": "CA"
}
],
"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 Jul 11, 2008; 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.