Anna Witanto, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44642 Issued in CA

Practice address

2701 Decoto Rd
Suite 1
Union City, CA 94587-4940

Phone

(510) 489-6900

Fax

(510) 324-1759

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477693133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 RUSH CREEK CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 DECOTO RD",
            "address_2": "SUITE 1",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945874940",
            "telephone_number": "510-489-6900",
            "fax_number": "510-324-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITANTO",
        "first_name": "ANNA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Kent Wilhelm, PSYD
• Kimberly Laticia Williams
• Laura Wilson, LMFT
• Nanette Herz Winterfelt, LCSW
• Agnieszka Anna Wisniewska, M.D.
• Aryn Wolfe
• Angela Wong, OD
• Carmen Wong, PHARM.D.
• Cho Kui Wong
• Connie T Wong, O.D.

• General Practice Dentistry in Union City, CA
• Providers in Union City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.