Individual provider Active NPI

Alexis M Anastasiou, D.O.

  • Psychiatry Physician
  • Pleasanton, CA
National Provider Identifier
1831351246
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A12197 Issued in CA
Practice address
5890 Stoneridge Dr
#215
Pleasanton, CA 94588-5818
Phone
(925) 425-0191
Fax
(925) 399-5401
NPI assigned
Jun 26, 2008
Last updated
May 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A12197 CA Primary

Addresses

Primary practice location

5890 Stoneridge Dr
#215
Pleasanton, CA 94588-5818

Mailing address

5890 Stoneridge Dr
#215
Pleasanton, CA 94588-5818
Phone (925) 425-0191

Other names 1

  • Dr. Alex M Anastasiou Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 18, 2016 through Apr 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A12197CAMDPsychiatry Physician

Interoperability endpoints

  • Direct secure messaging: dralexanastasioudo@124764.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1831351246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 STONERIDGE DR",
            "address_2": "#215",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885818",
            "telephone_number": "925-425-0191",
            "fax_number": "925-399-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 STONERIDGE DR",
            "address_2": "#215",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885818",
            "telephone_number": "925-425-0191",
            "fax_number": "925-399-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANASTASIOU",
        "first_name": "ALEXIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A12197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "ANASTASIOU",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.