Individual provider Active NPI

Ludmila W Afonicheva, MD

  • Family Medicine Physician
  • Torrance, CA
National Provider Identifier
1932159530
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A81344 Issued in CA
Practice address
2204 Torrance Blvd
Ste 105
Torrance, CA 90501-2544
Phone
(310) 328-2146
Fax
(310) 328-2242
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A81344 CA Primary

Addresses

Primary practice location

2204 Torrance Blvd
Ste 105
Torrance, CA 90501-2544

Mailing address

19902 Redbeam Ave
Torrance, CA 90503-1140
Phone (310) 218-8197

Other identifiers 1

IdentifierTypeStateIssuer
5435536MedicaidCA

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
I20040405001596 CA Practitioner - Family Practice 9830182922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23639 Hawthorne Blvd
Suite 200
Torrance, CA 90505-5988
Phone (310) 373-6464

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions21
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Traditional Family Practice Inc Family Medicine CurrentSince Jul 23, 2004 Accepting new patients
Rohun Medical Corporation Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients

Locations

2204 Torrance Blvd
Ste 105
Torrance, CA 90501
Phone (310) 328-2146

23639 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 370-4660

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1932159530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19902 REDBEAM AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031140",
            "telephone_number": "310-218-8197",
            "fax_number": "310-328-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 TORRANCE BLVD",
            "address_2": "STE 105",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012544",
            "telephone_number": "310-328-2146",
            "fax_number": "310-328-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFONICHEVA",
        "first_name": "LUDMILA",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A81344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5435536",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.