Active NPI
Mark Anthony, D.C.
- Chiropractor
- La Crescenta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC13928
- Practice address
- 3935 Foothill Blvd
La Crescenta, CA 91214-1621 - Phone
- (818) 957-7035
- Fax
- (818) 957-7017
- NPI assigned
- Oct 5, 2006
- Last updated
- Feb 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC13928 | CA | Primary |
Addresses
Primary practice location
3935 Foothill Blvd
La Crescenta, CA 91214-1621
Mailing address
15520 Rockfield Blvd
Ste A200
Irvine, CA 92618-6705
Phone (949) 598-9999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0139280 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3935 Foothill Blvd
La Crescenta, CA 91214-1621
Phone (818) 957-7035
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC13928 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony Chiropractic Inc | Chiropractor | Current | Accepting new patients |
| Diaso Chiropractic Professional Corporation | Chiropractor | Current | Accepting new patients |
| 1St Defense Inc | Past | Accepting new patients |
Locations
2150 Main St
Cambria, CA 93428
Phone (805) 395-3277
15520 Rockfield Blvd
Ste A200
Irvine, CA 92618
15550 Rockfield Blvd
Ste B220
Irvine, CA 92618
3935 Foothill Blvd
La Crescenta, CA 91214
Phone (818) 249-9181
Organizations & group practices 3
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.
-
- Chiropractor
- La Crescenta, CA
- NPI 1134305584
-
- Acupuncturist
- La Crescenta, CA
- NPI 1073761409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582848000000",
"number": "1619063575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15520 ROCKFIELD BLVD",
"address_2": "STE A200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926186705",
"telephone_number": "949-598-9999",
"fax_number": "949-598-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3935 FOOTHILL BLVD",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912141621",
"telephone_number": "818-957-7035",
"fax_number": "818-957-7017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "MARK",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC13928",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "DC0139280",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Crescenta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.