Individual provider Active NPI

Cyril O Anyadike, M.D.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1952322984
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A78604 Issued in CA
Practice address
8110 Airport Blvd
Los Angeles, CA 90045-3119
Phone
(310) 674-0144
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A78604 CA Primary

Addresses

Primary practice location

8110 Airport Blvd
Los Angeles, CA 90045-3119

Mailing address

8110 Airport Blvd
Los Angeles, CA 90045-3119
Phone (310) 674-0144

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
I20090401000056 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 7517024862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Wake Forest University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8110 Airport Blvd
Los Angeles, CA 90045-3119
Phone (310) 674-0144

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy68
Upper gastrointestinal (GI) endoscopy for acid reflux45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Little Company of Mary Affiliated Services Inc Past Accepting new patients
LB Surgical Center LLC Past Accepting new patients
Providence Health System Southern California Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952322984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 AIRPORT BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453119",
            "telephone_number": "310-674-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 AIRPORT BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453119",
            "telephone_number": "310-674-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYADIKE",
        "first_name": "CYRIL",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A78604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.