Annemarie E Fanselau, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A064663 Issued in CA

Practice address

301 W Huntington Dr
Suite 320
Arcadia, CA 91007-3462

Phone

(626) 447-3516

Fax

(626) 447-8546

NPI assigned

Feb 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: afanselau419057@direct.cshs.org

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.

• Huntington Medical Foundation

  • Endocrinology, Diabetes & Metabolism Physician
  • Pasadena, CA
  • NPI 1609950237

  Pediatrics

  NPD (past)
• Pasadena Hospital Association, LTD.

  • Psychiatric Hospital Unit
  • Pasadena, CA
  • NPI 1437121142
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1962474619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N ALTADENA DR",
            "address_2": "2ND FLOOR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077325",
            "telephone_number": "626-397-8335",
            "fax_number": "626-397-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HUNTINGTON DR",
            "address_2": "SUITE 320",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073462",
            "telephone_number": "626-447-3516",
            "fax_number": "626-447-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANSELAU",
        "first_name": "ANNEMARIE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A064663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Home Health Agency LLC
• Alex Ing Fan, PA-C
• Judy S Fan, O.D.
• Johnny Fang
• Yaohui Fang, ACUPUNCTURIST
• Ginamarie Farino, PA-C
• Fashion Optical Corporation
• Fauzia Khan MD Inc
• James J Femino, M.D.
• Matthew Feng

• Pediatrics Physician in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.