Individual provider Active NPI

Lars Anker, MD

  • Neurological Surgery Physician
  • Orange, CA
National Provider Identifier
1962548537
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A90065 Issued in CA
Practice address
1310 W Stewart Dr
Ste 212
Orange, CA 92868-3837
Phone
(714) 835-2724
Fax
(714) 835-2751
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A90065 CA Primary

Addresses

Primary practice location

1310 W Stewart Dr
Ste 212
Orange, CA 92868-3837

Mailing address

1310 W Stewart Dr
Ste 212
Orange, CA 92868-3837
Phone (714) 835-2724

Other identifiers 1

IdentifierTypeStateIssuer
00900650MedicaidCA

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
I20050812000572 CA Practitioner - Neurosurgery 6103856828 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lars Anker MD a Medical CorporationGroup PAC ID 3476700881, 2 clinicians

Practice addresses (Care Compare)

1310 W Stewart Dr
Suite 410
Orange, CA 92868-3855
Phone (714) 919-7661

Hospital & facility affiliations

  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168
  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion32
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
90065CAMDPharmacist
A90065CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Acute Care Surgery Medical Group, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Providence Medical Foundation CurrentSince Jan 4, 2016 Accepting new patients
Providence Medical Foundation CurrentSince Jan 4, 2016 Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Locations

1211 W La Palma Ave
Ste 709
Anaheim, CA 92801
Phone (714) 808-9292

1514 Valley Vista Dr
Diamond Bar, CA 91765
Phone (909) 560-1144

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

1310 W Stewart Dr
Ste 212
Orange, CA 92868
Phone (714) 543-8911

1010 W La Veta Ave
Ste 710
Orange, CA 92868
Phone (714) 835-2724

1310 W Stewart Dr
Ste 410
Orange, CA 92868
Phone (714) 538-8549

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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 4

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1962548537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR",
            "address_2": "STE 212",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683837",
            "telephone_number": "714-835-2724",
            "fax_number": "714-835-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR",
            "address_2": "STE 212",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683837",
            "telephone_number": "714-835-2724",
            "fax_number": "714-835-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKER",
        "first_name": "LARS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A90065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00900650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.