Physician Compare National (NPI:1265611362)

HEALTHCARE PROVIDER: ANANIAS E EBILANE M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1265611362
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153404173
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080216000120
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	EBILANE
	Individual professional last name
Provider First Name	ANANIAS
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1973
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	13429 HAWTHORNE BLVD
	Group Practice or individual's line 1 address
City	HAWTHORNE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	902505803
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050353
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050351
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TORRANCE MEMORIAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y