Jeremy Anuntiyo MD Inc

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

JEREMY ANUNTIYO MD INC

Practice address

1360 W 6TH St Ste 310
San Pedro, CA 90732-3599

Phone

(562) 529-7772

Fax

(562) 529-5449

NPI assigned

Sep 30, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeremy Anuntiyo, M.D.NPI 1811183585

Title

Chief Executive Officer

Phone

(562) 529-7772

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Anuntiyo, MD

  • Rheumatology Physician
  • San Pedro, CA
  • NPI 1811183585

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Hung M Nguyen, D.O.

  • Family Medicine Physician
  • Orange, CA
  • NPI 1447284526
  NPD (past)
• John Sim, M.D.

  • Internal Medicine Physician
  • Santa Barbara, CA
  • NPI 1497857510
  NPD (past)
• Robert Shou Jen Tsai, MD

  • General Practice Physician
  • Paramount, CA
  • NPI 1568645257
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1013168749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST STE 310",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323599",
            "telephone_number": "562-529-7772",
            "fax_number": "562-529-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST STE 310",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323599",
            "telephone_number": "562-529-7772",
            "fax_number": "562-529-5449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Katella Ave Ste 222",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907203365",
            "country_code": "US",
            "telephone_number": "562-529-7772",
            "fax_number": "562-529-5449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEREMY ANUNTIYO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "ANUNTIYO",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "562-529-7772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvin Jang, LCSW
• Daniel Jara
• Lerin Moriah Jaraczewski, RN
• Jennifer Che O D a Professional Corporation (San Pedro Optometry)
• Jennifer Randolph Acupuncture
• Kevin Jervik, PHD
• Raylyn Justine Jilani
• Andres Jimenez, M.D.
• Gavina Jimenez, RT1518820326
• Jimmy Jimenez, D.C.

• Rheumatology Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.