MEDICARE: DR. ANN PREMA VERMA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	A155456	CA
2	2084P0804X	Child & Adolescent Psychiatry Physician	A155456	CA

General Provider Information

NPI Number	:	1902152242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANN PREMA VERMA M.D.

Provider Business Mailing Address
First Line	:	3400 COTTAGE WAY STE G
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95825-1474
Country	:	US
Telephone Number	:	805-764-9651
Fax Number	:

Provider Business Practice Location Address
First Line	:	6500 WILSHIRE BLVD FL 19
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-4920
Country	:	US
Telephone Number	:	805-764-9651
Fax Number	:	805-855-4771

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2012
Last Update Date	:	01/13/2026

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