Dilip Anmangandla, MD.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A119597 Issued in CA

Practice address

28040 Dorothy Drive Suite 103
Agoura Hills, CA 91301

Phone

(818) 483-6334

Fax

(818) 483-6345

NPI assigned

Oct 18, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Hospitalist Medicine Physicians of California, Inc

  • Internal Medicine Physician
  • Apple Valley, CA
  • NPI 1184663965
  Medicare reassignment NPD

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

{
    "created_epoch": "1255824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1942536495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28040 DOROTHY DRIVE SUITE 103",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "91301",
            "telephone_number": "818-483-6334",
            "fax_number": "818-483-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28040 DOROTHY DRIVE SUITE 103",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "91301",
            "telephone_number": "818-483-6334",
            "fax_number": "818-483-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANMANGANDLA",
        "first_name": "DILIP",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-18",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A119597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A1195970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aminzadeh and Ahmadpour Medical Corporaiton (Behavioral Neuroscience Institute)
• Ample Home Health, Inc.
• Andrea S. Arons DDS, a Professional Dental Corporation
• Abanob Anis
• Anita S Pakula MD a Medical Corporation
• Anoosh D Javaherian MD
• George Bedros Apelian, DDS
• Jeff L Appell, PH.D.
• Ovsanna Arakelyan
• Armond Aghakhani, DDS, a Professional Corporation

• Internal Medicine Physician in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.