Mark Anantiyo, is a
Psychiatry & Neurology - Psychiatry based in Pomona, California. Mark Anantiyo is licensed to practice in California (license number PA61663) and his current practice location is
309 E 2nd St, Pomona, California. He can be reached at his office (for appointments etc.) via phone at
(909) 623-6111.
NPI number for Mark Anantiyo is 1245958453 and his current mailing address is 7617 E Hollow Oak Rd, Anaheim, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245958453.
Provider's Profile
| Full Name | Mark Anantiyo |
|---|
| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 309 E 2nd St, Pomona, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245958453
- Provider Enumeration Date: 08/15/2022
- Last Update Date: 05/01/2023
Medical Identifiers
Medical identifiers for Mark Anantiyo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245958453 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | PA61663 (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. Mark Anantiyo 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 |
|---|
Mark Anantiyo,
7617 E Hollow Oak Rd,
Anaheim, CA 92808-1426
Ph: Not Available | Mark Anantiyo,
309 E 2nd St,
Pomona, CA 91766-1854
Ph: (909) 623-6111 |
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