Organization Active NPI

Annapoorani Thenappan MD Inc

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1982959243
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A63969 Issued in CA
Legal business name
ANNAPOORANI THENAPPAN MD INC
Practice address
1701 E Cesar E Chavez Ave # 128
Los Angeles, CA 90033-2464
Phone
(323) 223-2338
Fax
(323) 225-2340
NPI assigned
Jul 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Dr. Annapoorani Thenappan, M.DNPI 1275564213
Title
President
Phone
(323) 223-2338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A63969 CA Primary

Addresses

Primary practice location

1701 E Cesar E Chavez Ave # 128
Los Angeles, CA 90033-2464

Mailing address

1701 E Cesar E Chavez Ave # 128
Los Angeles, CA 90033-2464
Phone (323) 223-2338

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0928560Annapoorani Thenappan, MD1701 E Cesar E Chavez Ave Ste 128, Los Angeles, CA 90033Certificate of waiverMay 20, 2027

National Provider Directory

National Provider Directory

Locations

1701 E Cesar E Chavez Ave
Ste 128
Los Angeles, CA 90033
Phone (323) 223-2338

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1982959243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E CESAR E CHAVEZ AVE # 128",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332464",
            "telephone_number": "323-223-2338",
            "fax_number": "323-225-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E CESAR E CHAVEZ AVE # 128",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332464",
            "telephone_number": "323-223-2338",
            "fax_number": "323-225-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAPOORANI THENAPPAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "THENAPPAN",
        "authorized_official_first_name": "ANNAPOORANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-223-2338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A63969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.