Anthony Joseph Picconatto, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A14437 Issued in CA

Practice address

207 S Santa Anita St Ste G18
San Gabriel, CA 91776-1147

Phone

(626) 389-8448

Fax

(626) 768-7585

NPI assigned

Oct 31, 2016

Last updated

Jun 13, 2025By the provider in NPPES

Sex

Male

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

Enrolled in CA

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.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dedicated Home Health Services, Inc Home health agency, Los Angeles, CA, CCN 559027
• Caring and Wellness Hospice Care, Inc. Hospice, Glendale, CA, CCN B51553

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Caring and Wellness Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Glendale, CA
  • NPI 1902484363

  W-2 Managing Employee

  CMS ownership

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.

• Anaheim Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Anaheim, CA
  • NPI 1962680033

  Family Medicine

  Medicare reassignment NPD
• Anthony Picconatto DO Inc

  • Family Medicine Physician
  • San Gabriel, CA
  • NPI 1114813599
  NPD (past) Authorized official
• Anaheim Urgent Care, Inc

  dba Advanced Urgent Care of Beverly Hills

  • Urgent Care Clinic/Center
  • Beverly Hills, CA
  • NPI 1619682788
  NPD
• Anaheim Urgent Care, Inc.

  dba UrgentMED

  • Urgent Care Clinic/Center
  • West Hills, CA
  • NPI 1356911044
  NPD
• Los Angeles Christian Health Centers

  dba Los Angeles Christian Health Centers - Pico Aliso

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1457599631
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Caring and Wellness Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Glendale, CA
  • NPI 1902484363
  Care Compare affiliation
• Dedicated Home Health Services, Inc.

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1861939928
  Care Compare affiliation

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1871045377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S SANTA ANITA ST STE G18",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761147",
            "telephone_number": "626-389-8448",
            "fax_number": "626-768-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S SANTA ANITA ST STE G18",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761147",
            "telephone_number": "626-389-8448",
            "fax_number": "626-768-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCONATTO",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-31",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A14437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Phan
• Pharmmed Inc (Las Tunas Pharmacy)
• Phi Tran Dental Corporation
• Lewis Phun
• Yun Pwint Phyu
• Pine Grove Healthcare & Wellness Centre, LP
• Cassandra Pineda, CMT
• Jacob Pinedo
• Ping Ouyang Acupuncture Inc.
• Samantha Star Ponce

• Family Medicine Physician in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.

Verify at the official NPI Registry.