Anton Petrenko, PHD is a
Psychologist - Clinical based in Orange, California. Anton Petrenko is licensed to practice in California (license number PSY33579) and his current practice location is
1201 W La Veta Ave, Orange, California. He can be reached at his office (for appointments etc.) via phone at
(714) 509-3792.
NPI number for Anton Petrenko is 1053689786 and his current mailing address is 1201 W La Veta Ave, Orange, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053689786.
Healthcare Provider's Profile
Full Name | Anton Petrenko |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 1201 W La Veta Ave, Orange, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053689786
- Provider Enumeration Date: 12/08/2011
- Last Update Date: 12/28/2022
Medical Identifiers
Medical identifiers for Anton Petrenko such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053689786 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | PSY33579 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anton Petrenko is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Anton Petrenko, PHD 1201 W La Veta Ave, Orange, CA 92868-4203 Ph: (714) 509-3792 | Anton Petrenko, PHD 1201 W La Veta Ave, Orange, CA 92868-4203 Ph: (714) 509-3792 |
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