Individual provider Active NPI

Meenakshi Verma, M.D

  • Nephrology Physician
  • Los Alamitos, CA
National Provider Identifier
1942463427
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A108157 Issued in CA
Practice address
10861 Cherry St Ste 104
Los Alamitos, CA 90720-5403
Phone
(562) 446-0580
Fax
(562) 685-0570
NPI assigned
Jul 6, 2008
Last updated
Dec 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A108157 CA Primary

Addresses

Primary practice location

10861 Cherry St Ste 104
Los Alamitos, CA 90720-5403

Mailing address

10861 Cherry St Ste 104
Los Alamitos, CA 90720-5403
Phone (562) 446-0580

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
I20120927000725 CA Practitioner - Nephrology 2668621137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17822 Beach Blvd
Suite 373
Huntington Beach, CA 92647-7115
Phone (714) 848-3333

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 728-5034

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
38.53 of 100Reported as group
Quality
20.07
Promoting interoperability
0
Improvement activities
0
Cost
75.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A108157CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Current Accepting new patients
Coast Nephrology Medical Group Inc. Nephrology CurrentSince Aug 1, 2019 Accepting new patients
Prohealth Partners a Medical Group Inc CurrentSince Oct 23, 2019 Accepting new patients
Southland Renal Medical Group, Inc. Nephrology Past Accepting new patients
Prohealth Partners a Medical Group Inc Past Accepting new patients
Prohealth Partners, a Medical Group, Inc. Past Accepting new patients
Hoag Hospital Past Accepting new patients
Southland Renal Medical Group, Inc. Nephrology Past Accepting new patients

Locations

3780 Kilroy Airport Way
Ste 115
Long Beach, CA 90806
Phone (562) 595-7426

3772 Katella Ave
Ste 107
Los Alamitos, CA 90720
Phone (562) 431-7877

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1215302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1942463427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST STE 104",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205403",
            "telephone_number": "562-446-0580",
            "fax_number": "562-685-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST STE 104",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205403",
            "telephone_number": "562-446-0580",
            "fax_number": "562-685-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMA",
        "first_name": "MEENAKSHI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-06",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A108157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.