Individual provider Active NPI

Aurora Litam

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1972636405
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A048364 Issued in CA
Practice address
1605 Eastlake Ave
Medical Module
Los Angeles, CA 90033-1009
Phone
(323) 228-8816
Fax
(323) 227-4723
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

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
Pediatrics Physician 208000000X A048364 CA Primary

Addresses

Primary practice location

1605 Eastlake Ave
Medical Module
Los Angeles, CA 90033-1009

Mailing address

1052 Shirlyjean St
Glendale, CA 91208-1140
Phone (232) 226-8816

Other names 1

  • Dr. Aurora Mondok-Litam Former name

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
I20160217001986 CA Practitioner - Pediatric Medicine 0840595542 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A048364CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Jan 9, 2016 Accepting new patients
County of Los Angeles Current Accepting new patients
Northeast Valley Health Corporation CurrentSince Jan 31, 2018 Accepting new patients
Northeast Valley Health Corporation Current Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Jan 9, 2016 Accepting new patients
Northeast Valley Health Corporation CurrentSince Jan 31, 2018 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244

7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656

1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388

1600 San Fernando Rd
San Fernando, CA 91340
Phone (818) 365-8086

Organizations & group practices 6

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972636405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 SHIRLYJEAN ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081140",
            "telephone_number": "232-226-8816",
            "fax_number": "232-227-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 EASTLAKE AVE",
            "address_2": "MEDICAL MODULE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331009",
            "telephone_number": "323-228-8816",
            "fax_number": "323-227-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITAM",
        "first_name": "AURORA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A048364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AURORA",
            "last_name": "MONDOK-LITAM",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.