Organization Active NPI

Ananth Shenoy, M.D. Inc.

  • Specialist
  • Antioch, CA
National Provider Identifier
1467699751
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A37840
Legal business name
ANANTH SHENOY, M.D. INC.
Practice address
3903 Lone Tree Way Ste 311
Antioch, CA 94509-6252
Phone
(925) 778-1400
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Ananth Shenoy
Title
Physician/President
Phone
(925) 778-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A37840 Primary

Addresses

Primary practice location

3903 Lone Tree Way Ste 311
Antioch, CA 94509-6252

Mailing address

3903 Lone Tree Way Ste 311
Antioch, CA 94509-6252
Phone (925) 778-1400

National Provider Directory

National Provider Directory

Locations

3903 Lone Tree Way
Ste 311
Antioch, CA 94509
Phone (925) 754-4343

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1467699751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 LONE TREE WAY STE 311",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096252",
            "telephone_number": "925-778-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 LONE TREE WAY STE 311",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096252",
            "telephone_number": "925-778-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANANTH SHENOY, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "SHENOY",
        "authorized_official_first_name": "ANANTH",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "925-778-1400"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": "A37840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.