DR. ADELAIDA B ANTONIO M.D. NPI 1134337975

NPI Information

NPI: 1134337975
Provider Name: DR. ADELAIDA B ANTONIO, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: ROY MEDICAL GROUP INC

PECOS Registration: Yes

Address:
21001 SHERMAN WAY
SUITE 15
CANOGA PARK, CA
ZIP 91303
Phone: (818) 716-0048
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DR. Adelaida B Antonio, M.D. is a general practice in Canoga Park, CA with 70 years of experience. DR. Adelaida B Antonio, M.D. NPI is 1134337975. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21001 SHERMAN WAY
SUITE 15
CANOGA PARK, CA
ZIP 91303-760
Phone: (818) 716-0048
Fax: (818) 785-3330

The NPI 1134337975 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 5/17/2007 and was last updated on 12/11/2011.

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	207Q00000X	Family Medicine		C41801	CALIFORNIA	No
2	208D00000X	General Practice		C41801	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C41801	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
2	00C418010	MEDICAID	CALIFORNIA

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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