Individual provider Active NPI

Anu Vishwanath

  • Pediatric Endocrinology Physician
  • Loma Linda, CA
National Provider Identifier
1982816237
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
C195915 Issued in CA
Practice address
11370 Anderson St Ste B800
Loma Linda, CA 92354-3450
Phone
(909) 558-5138
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 036.132469 IL
Pediatric Endocrinology Physician 2080P0205X C195915 CA Primary

Addresses

Primary practice location

11370 Anderson St Ste B800
Loma Linda, CA 92354-3450

Mailing address

11175 Campus St RM A1111
Loma Linda, CA 92350-1700
Phone (909) 558-8142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160209001950 IL Practitioner - EndocrinologyPractitioner - Pediatric Medicine 3971807199 Reassigns benefits to 1 organization
I20240923001075 CA Practitioner - EndocrinologyPractitioner - Pediatric Medicine 3971807199 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C195915CAMDPediatric Endocrinology Physician
036.132469ILMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sac Health System CurrentSince Jan 10, 2026 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Oct 16, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Board of Trustees of the University of Illinois CurrentSince Jan 20, 2016 Accepting new patients
Sac Health System CurrentSince Jan 10, 2026 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jan 20, 2016 Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

11370 Anderson St
#B800
Loma Linda, CA 92354
Phone (909) 558-4786

11370 Anderson St
Ste B800
Loma Linda, CA 92354
Phone (909) 558-2848

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

7694 Solutions Ctr
Chicago, IL 60677

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

420 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 655-2343

1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000

420 NE Glen Oak Ave
Ste 401
Peoria, IL 61603
Phone (309) 624-9259

Interoperability endpoints

  • Direct secure messaging: avishwanath1222660@direct.llu.edu

Organizations & group practices 11

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1982816237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 CAMPUS ST RM A1111",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923501700",
            "telephone_number": "909-558-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11370 ANDERSON ST STE B800",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543450",
            "telephone_number": "909-558-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISHWANATH",
        "first_name": "ANU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "IL",
            "license": "036.132469",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "CA",
            "license": "C195915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.