Another Way 1, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ANOTHER WAY 1, LLC

Practice address

5750 Division St
Riverside, CA 92506-3269

Phone

(951) 368-0428

NPI assigned

Feb 13, 2020

Organization subpart

No

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

Authorized official

Name

Zandra Berneta Tutt, MD

Title

Ceo

Phone

(954) 937-2944

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.

• Andrea Marie Polo, FNP

  • Nurse Practitioner
  • Portland, OR
  • NPI 1093393951
  NPD (past)

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1093348419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "(TUTT)",
            "address_2": "1835 E. HALLANDALE BCH BLVD #127",
            "city": "HALLANDALE",
            "state": "FL",
            "postal_code": "33009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 DIVISION ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063269",
            "telephone_number": "951-368-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOTHER WAY 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "TUTT",
        "authorized_official_first_name": "ZANDRA",
        "authorized_official_middle_name": "BERNETA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-937-2944",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjelic Touch
• Anka Behavioral Health, Inc.
• Ann Ewalt Hamilton MD Medical Corp
• Roger G Annabel, MD
• Annjudel C Enriquez
• Another Way 2 LLC
• Mitra Ansari, PA-C
• Salman H. Ansari, MD
• Talha Ansari
• Jonathan Eric Antczak, CADC III

• Internal Medicine Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.