Tony Wayne Angelo

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

Practice address

1025 S Mount Vernon Ave
Suite a
Colton, CA 92324-4226

Phone

(909) 783-1473

NPI assigned

Aug 13, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pacific Forenisc Psychology

  • Mental Health Counselor
  • Colton, CA
  • NPI 1740472422
  NPD (past)

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1992997068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38251 POTATO CANYON RD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923999554",
            "telephone_number": "909-797-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S MOUNT VERNON AVE",
            "address_2": "SUITE A",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244226",
            "telephone_number": "909-783-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELO",
        "first_name": "TONY",
        "middle_name": "WAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Andraos, MD
• Amber Andreatta
• Andrew W Hesseltine, M.D., Inc
• Andrew W. Hesseltine M.D., Inc
• Catherine C Angeles
• Angels in Route, LLC
• Tiffany Angkadjaja
• Mitzi Yajaira Angulo
• Akunna A Aniemeka
• Bryan James Guerrero Anilao, MD

• Forensic Psychologist in Colton, CA
• Providers in Colton, CA by specialty
• Forensic Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.