Paula Anthony

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

1906 Commercenter E Ste 210
San Bernardino, CA 92408-3424

Phone

(909) 893-2782

NPI assigned

Apr 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 2020 Vision Youth

  • Health & Wellness Coach
  • La Mirada, CA
  • NPI 1750147120
  NPD

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1013762673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 KENDALL DR # 332",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924074306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 COMMERCENTER E STE 210",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083424",
            "telephone_number": "909-893-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "PAULA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahzuli Mirel Ansermet, ACSW
• Anthony Fenison, MD, Inc
• Anthony T. Fenison, M.D., Inc.
• Anthony W. Deza D.D.S.,Inc
• Kayla Marie Anthony
• Tyquiese Anthony
• Ashley Nicole Antillon
• Antiquites Et Medecine, Inc.
• Alina Antone
• Rhenniel Antonio

• All providers in San Bernardino, CA
• Health & Wellness Coach in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.