Anthony Tyron Fenison, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G73330 Issued in CA

Practice address

23100 Eucalyptus Ave
Moreno Valley, CA 92553

Phone

(951) 924-4700

Fax

(951) 924-1320

NPI assigned

Sep 20, 2006

Last updated

Feb 14, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Anthony Fenison, MD, Inc

  • Orthopaedic Surgery Physician
  • San Bernardino, CA
  • NPI 1376865964
  NPD (past) Authorized official
• Anthony T. Fenison MD Inc

  • Orthopaedic Surgery Physician
  • Moreno Valley, CA
  • NPI 1922316025
  Authorized official Same address or phone
• Anthony T. Fenison, M.D., Inc.

  • Orthopaedic Surgery Physician
  • San Bernardino, CA
  • NPI 1851523443
  NPD (past) Authorized official
• Desert Valley Hospital, LLC

  dba Desert Valley Hospital

  • General Acute Care Hospital
  • Victorville, CA
  • NPI 1851396576
  NPD (past)
• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455408000000",
    "number": "1407954654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23100 EUCALYPTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92553",
            "telephone_number": "951-924-4700",
            "fax_number": "951-924-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23100 EUCALYPTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92553",
            "telephone_number": "951-924-4700",
            "fax_number": "951-924-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENISON",
        "first_name": "ANTHONY",
        "middle_name": "TYRON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G73330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reggie Federico
• Keith R Felder Sr.
• Peter Paul Feliciano, D.M.D.
• Jennesy E Felix
• Dow Hsueh Feng, PHARMD
• Natalie Suzanne Fenske, DO
• Ricardo Ferguson
• Jennifer Susan Fernandez
• Mariel Estrella Fernandez, NP
• Glenn Ford Fernando

• Orthopaedic Surgery Physician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2016; 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.