Vicki Marie Anakwenze, M.D,

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G61291 Issued in CA

Practice address

5260 S Figueroa St
216
Los Angeles, CA 90037-3743

Phone

(323) 234-3077

Fax

(323) 234-2431

NPI assigned

Nov 19, 2007

Last updated

Nov 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General PracticeAlso: Family Practice

Education

University of California, San Diego School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Victorian Care Medical Group IncGroup PAC ID 7911810197, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Victorian Care Medical Group, Inc.

  • Internal Medicine Physician
  • Inglewood, CA
  • NPI 1821172008
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1992986947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5260 S FIGUEROA ST",
            "address_2": "216",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373743",
            "telephone_number": "323-234-3077",
            "fax_number": "323-234-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5260 S FIGUEROA ST",
            "address_2": "216",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373743",
            "telephone_number": "323-234-3077",
            "fax_number": "323-234-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAKWENZE",
        "first_name": "VICKI",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G61291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G61291",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anaheim Urgent Care, Inc. (Mar Vista Urgent Care)
• Anaheim Urgent Care, Inc. (Eagle Rock Urgent Care)
• Anahit Grigoryan (RD Universal Medical Supply)
• Anahit Grigoryan
• Jaiden Anakwenze
• Susana Analco
• Khehkash Anand
• Neel Anand, M.D.
• Rajsavi Singh Anand, MD
• Ananda Acupuncture Group, Inc.

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.