Antle & Moradi MD Apc

Primary specialty

SpecialistTaxonomy code 174400000X

License

C30572 Issued in CA

Legal business name

ANTLE & MORADI MD APC

Practice address

2023 W Vista Way Ste F
Vista, CA 92083-6030

Phone

(760) 726-6451

Fax

(760) 726-4822

NPI assigned

May 2, 2008

Last updated

May 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Regg Vince Antle, MD

Title

President

Phone

(760) 726-6451

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amir Moradi, MD

  • Otolaryngology Physician
  • Vista, CA
  • NPI 1467567032
  NPD

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1063688703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 W VISTA WAY STE F",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836030",
            "telephone_number": "760-726-6451",
            "fax_number": "760-726-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 W VISTA WAY STE F",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836030",
            "telephone_number": "760-726-6451",
            "fax_number": "760-726-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTLE & MORADI MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "ANTLE",
        "authorized_official_first_name": "REGG",
        "authorized_official_middle_name": "VINCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-726-6451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C30572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David Christopher Antonetti, LMFT
• Sara Antos
• Dunya Antwan, DDS

• Specialist in Vista, CA
• Providers in Vista, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.