NPIMap

Organization Active NPI

Rita M. Antolin DDS a Professional Corporation

  • Health Maintenance Organization
  • Canoga Park, CA
National Provider Identifier
1598156119
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
49053 Issued in CA
Legal business name
RITA M. ANTOLIN DDS A PROFESSIONAL CORPORATION
Practice address
21301A Saticoy Street
Canoga Park, CA 91304
Phone
(818) 703-1299
NPI assigned
Feb 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Authorized official

Name
Mrs. Rita Mariano Antolin
Title
DDS
Phone
(818) 703-1299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 49053 CA Primary

Addresses

Primary practice location

21301A Saticoy Street
Canoga Park, CA 91304

Mailing address

21301A Saticoy Street
Canoga Park, CA 91304
Phone (818) 703-1299

National Provider Directory

National Provider Directory
Tax ID family
Rita M Antolin2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

21301 Saticoy St
#A
Canoga Park, CA 91304
Phone (818) 703-1299

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1598156119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21301A SATICOY STREET",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "91304",
            "telephone_number": "818-703-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21301A SATICOY STREET",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "91304",
            "telephone_number": "818-703-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITA M. ANTOLIN DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "ANTOLIN",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "MARIANO",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "818-703-1299",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "49053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.