Individual provider Active NPI

Anton Power, D.O.

  • Addiction Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1285175075
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
OP61268604 Issued in WA
Practice address
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone
(310) 478-3711
NPI assigned
Mar 14, 2017
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 20A18699 CA
Addiction Psychiatry Physician 2084P0802X DOS1929 HI
Addiction Psychiatry Physician 2084P0802X 312778 NY
Addiction Psychiatry Physician 2084P0802X OP61268604 WA Primary

Addresses

Primary practice location

11301 Wilshire Blvd
Los Angeles, CA 90073-1003

Mailing address

9040 Jackson Ave
Tacoma, WA 98466
Phone (253) 968-5906

Other practice location 1

9040 Jackson Ave
Tacoma, WA 98431-1003
Phone (253) 968-2252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220708001668 CA Practitioner - Psychiatry 4688054505 Reassigns benefits to 1 organization
I20241111003873 TX Practitioner - Psychiatry 4688054505 Reassigns benefits to 2 organizations
I20251104002815 WA Practitioner - Psychiatry 4688054505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of New England, College of Osteo Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puyallup Tribal Opioid Clinic IncGroup PAC ID 4486096377, 10 clinicians

Practice addresses (Care Compare)

3560 Bridgeport Way W
Suite 1 D
University Place, WA 98466-4446
Phone (425) 243-9412

503 E 26TH St
Cedar Wellness Clinic
Tacoma, WA 98421-1343
Phone (253) 881-7001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A18699CAMDAddiction Psychiatry Physician
DOS1929HIMDAddiction Psychiatry Physician
312778NYMDAddiction Psychiatry Physician
OP61268604WAMDAddiction Psychiatry Physician
18699CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anton Power DO PLLC Addiction Psychiatry CurrentSince Sep 3, 2025 Accepting new patients
New Life Health Authority CurrentSince Aug 29, 2024 Accepting new patients
Mellow Medical Inc a Professional Corporation Psychiatry CurrentSince Jun 24, 2022 Accepting new patients
Revive Pathway General Practice CurrentSince Sep 1, 2024 Accepting new patients
Puyallup Tribal Opioid Clinic, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Comprehensive Psychiatric Services, a Medical Group Psychiatry Past Accepting new patients

Locations

1240 Broadway
El Cajon, CA 92021
Phone (619) 841-1310

12301 Wilshire Blvd
Ste 512
Los Angeles, CA 90025
Phone (833) 427-3566

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

8235 Santa Monica Blvd
Ste 302
West Hollywood, CA 90046
Phone (310) 892-4284

6650 Gunpark Dr
Ste 100
Boulder, CO 80301

503 E 26th St
Tacoma, WA 98421
Phone (253) 881-7001

3560 Bridgeport Way W
Ste 1D-1
University Place, WA 98466
Phone (253) 260-6754

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9357/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1285175075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98466",
            "telephone_number": "253-968-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900731003",
            "telephone_number": "310-478-3711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9040 Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984311003",
            "country_code": "US",
            "telephone_number": "253-968-2252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWER",
        "first_name": "ANTON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-14",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "20A18699",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "HI",
            "license": "DOS1929",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "312778",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "WA",
            "license": "OP61268604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.