Active NPI
Anthony Fenison, MD, Inc
- Orthopaedic Surgery Physician
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G73330
- Legal business name
- ANTHONY FENISON, MD, INC
- Practice address
- 155 W Hospitality LN Ste 105
San Bernardino, CA 92408-3317 - Phone
- (909) 888-2210
- NPI assigned
- Feb 23, 2010
- Organization subpart
- Yes
- Parent organization
- ANTHONY FENISON, MD, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Fenison, M.D.
- Title
- Medical Director
- Phone
- (909) 888-2210
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G73330 | CA | Primary |
Addresses
Primary practice location
155 W Hospitality LN Ste 105
San Bernardino, CA 92408-3317
Mailing address
2980 N Beverly Glen Cir Ste 100
Los Angeles, CA 90077-1728
Phone (310) 474-9809
National Provider Directory
National Provider Directory- Tax ID family
- Anthony T Fenison MD Inc
- Part of
- Anthony T Fenison MD Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- San Bernardino, CA
- NPI 1851523443
Locations
155 W Hospitality Ln
#105
San Bernardino, CA 92408
Phone (909) 888-2210
Practitioners & affiliated clinicians
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.
-
- Orthopaedic Surgery Physician
- Moreno Valley, CA
- NPI 1407954654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298937600000",
"number": "1376865964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 N BEVERLY GLEN CIR STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900771728",
"telephone_number": "310-474-9809",
"fax_number": "888-652-3017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 W HOSPITALITY LN STE 105",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083317",
"telephone_number": "909-888-2210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHONY FENISON, MD, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ANTHONY FENISON, MD, INC",
"enumeration_date": "2010-02-23",
"last_updated": "2011-03-01",
"status": "A",
"authorized_official_last_name": "FENISON",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "909-888-2210",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G73330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.