Individual provider Active NPI

Lakshmidevi Putta, MD

  • Family Medicine Physician
  • Burbank, CA
National Provider Identifier
1962435628
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A77357 Issued in CA
Practice address
2625 W Alameda Ave
Suite#424
Burbank, CA 91505-4806
Phone
(818) 848-2351
Fax
(818) 848-3164
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 A77357 CA Primary

Addresses

Primary practice location

2625 W Alameda Ave
Suite#424
Burbank, CA 91505-4806

Mailing address

2625 W Alameda Ave
Suite#424
Burbank, CA 91505-4806
Phone (818) 848-2351

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
I20070226000516 CA Practitioner - Family Practice 5698877413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2625 W Alameda Ave
Suite 424
Burbank, CA 91505-4818
Phone (818) 848-2351

Hospital & facility affiliations

  • Carehug Home Health Services Inc. Home health agency, Tarzana, CA, CCN 758013
  • Concord Home Health Home health agency, Van Nuys, CA, CCN 757204
  • L&R Home Health, Inc Home health agency, Burbank, CA, CCN 553144
  • Miras Home Health Care, Inc. Home health agency, Reseda, CA, CCN 757105
  • Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235
  • Providence St Elizabeth Care Center Nursing home, North Hollywood, CA, CCN 055192

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A77357CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakshmidevi V. Putta, MD Inc Family Medicine CurrentSince Sep 25, 2011 Accepting new patients
Valley Healthcare Med GRP Family Medicine Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

2625 W Alameda Ave
Burbank, CA 91505
Phone (818) 729-9111

2625 W Alameda Ave
Ste 4
Burbank, CA 91505

2625 W Alameda Ave
Ste 424
Burbank, CA 91505
Phone (818) 843-6101

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 6

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962435628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE",
            "address_2": "SUITE#424",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054806",
            "telephone_number": "818-848-2351",
            "fax_number": "818-848-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE",
            "address_2": "SUITE#424",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054806",
            "telephone_number": "818-848-2351",
            "fax_number": "818-848-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTTA",
        "first_name": "LAKSHMIDEVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A77357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.