MR. ANTHONY RAYMOND REYES YVANOVICH PA-C NPI 1841327491

NPI Information

NPI: 1841327491
Provider Name: MR. ANTHONY RAYMOND REYES YVANOVICH, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
400 N PEPPER AVE
COLTON, CA
ZIP 92324
Phone: (909) 580-1000
Get Directions

MR. Anthony Raymond Reyes Yvanovich, PA-C is a medical physician assistant in Colton, CA. MR. Anthony Raymond Reyes Yvanovich, PA-C NPI is 1841327491. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 N PEPPER AVE
COLTON, CA
ZIP 92324-801
Phone: (909) 580-1000

The NPI 1841327491 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA 19021	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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