Antaki & Associates Infectious Disease Medical Group Inc

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

ANTAKI & ASSOCIATES INFECTIOUS DISEASE MEDICAL GROUP INC

Practice address

801 S Chevy Chase Dr
101
Glendale, CA 91205-4431

Phone

(818) 242-5299

Fax

(818) 637-7607

NPI assigned

Apr 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jean-Peirre Antaki, M.D.

Title

Owner

Phone

(818) 242-5299

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

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

• Hovik Abedi, FNP

  • Family Nurse Practitioner
  • Glendale, CA
  • NPI 1689277527
  Medicare reassignment Care Compare group NPD
• Jean-Pierre E Antaki, M.D.

  • Infectious Disease Physician
  • Glendale, CA
  • NPI 1013972876
  Medicare reassignment Care Compare group NPD
• Tracy-Jane Luyun Fajota, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Glendale, CA
  • NPI 1700660560
  Medicare reassignment Care Compare group NPD
• Carisa Liane Hernandez, FNP-BC

  • Family Nurse Practitioner
  • Glendale, CA
  • NPI 1467813345
  Medicare reassignment Care Compare group NPD
• Byron Williams, M.D.

  • Infectious Disease Physician
  • Glendale, CA
  • NPI 1295790319
  Medicare reassignment Care Compare group NPD
• Sophia Louise Howard Larriva

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1376191718
  Medicare reassignment Care Compare group
• Pia Neria, P.A.

  • Physician Assistant
  • Glendale, CA
  • NPI 1386693208
  Medicare reassignment Care Compare group
• Arash Alborzi, M.D.

  • Infectious Disease Physician
  • Glendale, CA
  • NPI 1770582165
  Medicare reassignment NPD
• Michelle Padilla Martinez, NP

  • Nurse Practitioner
  • Los Angeles, CA
  • NPI 1104310002
  Medicare reassignment NPD

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1124083274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DR",
            "address_2": "101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054431",
            "telephone_number": "818-242-5299",
            "fax_number": "818-637-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DR",
            "address_2": "101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054431",
            "telephone_number": "818-242-5299",
            "fax_number": "818-637-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTAKI & ASSOCIATES INFECTIOUS DISEASE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2018-02-05",
        "status": "A",
        "authorized_official_last_name": "ANTAKI",
        "authorized_official_first_name": "JEAN-PEIRRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-242-5299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GROO93960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anora Home Health
• Anoush Medical Clinic Inc
• Benjamin Anowia
• Raffi Anserian
• Answers to Behavioral Challenges
• Jean-Pierre E Antaki, M.D.
• Anthony Zamudio PHD
• Christy Anthony, MD
• Elizabeth Antone
• Hrachya Antonyan

• Infectious Disease Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.