Active NPI
Paul T Ananias II, D.O.
- Psychiatry Physician
- Norwalk, CA
National Provider Identifier
1043322803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20A8180
- Practice address
- 11401 Bloomfield Ave
Norwalk, CA 90650-2015 - Phone
- (562) 863-7011
- Fax
- (562) 864-4560
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 20A8180 | CA | Primary |
Addresses
Primary practice location
11401 Bloomfield Ave
Norwalk, CA 90650-2015
Mailing address
11401 Bloomfield Ave
Norwalk, CA 90650-2015
Phone (562) 863-7011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A8180 | CA | MD | Psychiatry Physician |
| 8180 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1043322803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11401 BLOOMFIELD AVE",
"city": "NORWALK",
"state": "CA",
"postal_code": "906502015",
"telephone_number": "562-863-7011",
"fax_number": "562-864-4560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11401 BLOOMFIELD AVE",
"city": "NORWALK",
"state": "CA",
"postal_code": "906502015",
"telephone_number": "562-863-7011",
"fax_number": "562-864-4560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANANIAS",
"first_name": "PAUL",
"middle_name": "T",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "20A8180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.