Active NPI
Annapoorani Thenappan MD Inc
- Pediatrics Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A63969
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Annapoorani Thenappan, M.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0928560 | Annapoorani Thenappan, MD | Certificate of waiver | May 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Los Angeles, CA
- NPI 1275564213
-
- Family Nurse Practitioner
- Los Angeles, CA
- NPI 1790555860
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.