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MARY ANNE CLAUDINE AVENA MD
NPI 1215639786
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 20, 2023PECOS Enrolled
1200 N STATE ST STE A7D, LOS ANGELES, CA 90089(323) 409-7556 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 14, 2023, Mar 20, 2023 (2 updates tracked since 2023).

About Mary Anne Claudine Avena Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ANNE CLAUDINE AVENA MD (NPI 1215639786) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215639786
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARY ANNE CLAUDINE AVENACredential: MD
Location Address1200 N STATE ST STE A7DLos Angeles, CA 90089-1001
Mailing Address1200 N State St Ste A7dLos Angeles, CA 90089-1001 · (323) 409-7556
Phone(323) 409-7556
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateJune 14, 20232 updates tracked since enumeration
NPPES CertifiedJune 14, 2023
✔ NPI 1215639786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N STATE ST STE A7D, Los Angeles, CA 90089
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Other Names 1

Other Name (5)Mary Anne Claudine Avena Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Anne Claudine Avena Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ISHANI D PREMARATNE MD
Plastic Surgery
1200 N STATE ST STE A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 409-6225
DIVYA MULCHANDANI MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST STE A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 409-5707
YEKTA RAHIMI ASHTIANI MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST STE A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 409-7556
DAVID VASCONCELLOS
Student in an Organized Health Care Education/Training Program
1200 N STATE ST STE A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 409-7556
CATHERINE POTIN
Student in an Organized Health Care Education/Training Program
1200 N STATE ST STE A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 409-7556
JUSTIN VU
Student in an Organized Health Care Education/Training Program
1200 N STATE ST STE A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 409-7556
ASHLEY KWON
Student in an Organized Health Care Education/Training Program
1200 N STATE ST STE A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 409-7556
PRANAV BHAMIDIPATI
Student in an Organized Health Care Education/Training Program
1200 N STATE ST STE A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 409-7556

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Anne Claudine Avena's NPI number?

The NPI number for Mary Anne Claudine Avena is 1215639786. It was assigned to this individual provider in the NPPES registry on March 20, 2023. The provider is also known as Mary Anne Claudine Avena MD.

Where is Mary Anne Claudine Avena located?

Mary Anne Claudine Avena practices at 1200 N State St Ste A7d, Los Angeles, CA 90089. The listed phone number is (323) 409-7556.

What is Mary Anne Claudine Avena's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mary Anne Claudine Avena enrolled in Medicare?

Yes. Mary Anne Claudine Avena is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Anne Claudine Avena was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.