Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Antonious Anis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356979348

Antonious Anis is a Critical Care (Intensivists) in Riverside, California. Qualified in 2020, 6 years ago. Practices with Southbay Critical Care a Medical Partnership, a 13-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4234 Riverwalk Pkwy Ste 230
Riverside, CA 92505-3312
Phone: (951) 781-3672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence A179528 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356979348
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESAugust 16, 2025
Certification dateAugust 16, 2025
Mailing address1050 Linden Ave, Long Beach, CA 90813-3321

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southbay Critical Care A Medical Partnership — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Riverside