Active NPI
Anthony D Panasci, MD FACS RVT
- Vascular Surgery Physician
- Valencia, CA
National Provider Identifier
1285734749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- G39029
- Practice address
- 25880 Tournament Rd
Suite #222
Valencia, CA 91355 - Phone
- (661) 254-0720
- Fax
- (661) 254-0860
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | G39029 | CA | Primary |
Addresses
Primary practice location
25880 Tournament Rd
Suite #222
Valencia, CA 91355
Mailing address
25880 Tournament Rd
Suite 222
Valencia, CA 91355
Phone (661) 254-0720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G390290 | Medicaid | CA |
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 Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony D. Panasci MD Professional Corporation | Vascular Surgery | Current | Accepting new patients |
Locations
25880 Tournament Rd
Ste 222
Valencia, CA 91355
Phone (661) 254-0720
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Vascular Surgery Physician
- Valencia, CA
- NPI 1780938928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1285734749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25880 TOURNAMENT RD",
"address_2": "SUITE 222",
"city": "VALENCIA",
"state": "CA",
"postal_code": "91355",
"telephone_number": "661-254-0720",
"fax_number": "661-254-0860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25880 TOURNAMENT RD",
"address_2": "SUITE #222",
"city": "VALENCIA",
"state": "CA",
"postal_code": "91355",
"telephone_number": "661-254-0720",
"fax_number": "661-254-0860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANASCI",
"first_name": "ANTHONY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD FACS RVT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "G39029",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G390290",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.