Organization Active NPI

Anthony G. Sanzone MD, Inc

  • Surgery Physician
  • Chula Vista, CA
National Provider Identifier
1548438229
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ANTHONY G. SANZONE MD, INC
Practice address
955 Lane Ave
Suite 200
Chula Vista, CA 91914-4525
Phone
(619) 421-4200
NPI assigned
Feb 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Dr. Anthony G Sanzone, MDNPI 1992747059
Title
President
Phone
(619) 421-4200

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

955 Lane Ave
Suite 200
Chula Vista, CA 91914-4525

Mailing address

955 Lane Ave
Suite 200
Chula Vista, CA 91914-4525
Phone (619) 421-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041214001262 CA Part B Supplier - Clinic/Group Practice 3173580800 Receives reassigned benefits from 1 practitioner
Practice locations: Chula Vista, CA; San Diego, CA
O20100930012460 CA DME Supplier - Physician - General Practice 3173580800 Practice locations: Chula Vista, CA

National Provider Directory

National Provider Directory

Locations

752 Medical Center Ct
Ste 304
Chula Vista, CA 91911
Phone (619) 421-4200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1548438229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 LANE AVE",
            "address_2": "SUITE 200",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144525",
            "telephone_number": "619-421-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 LANE AVE",
            "address_2": "SUITE 200",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144525",
            "telephone_number": "619-421-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY G. SANZONE MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "SANZONE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-421-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.