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

Dr. Adelaida B Antonio, MD

Individual provider Family Medicine Physician · NPI 1134337975

Dr. Adelaida B Antonio, MD is an Internal Medicine in Canoga Park, California. Qualified in 1954, 72 years ago. Practices with Roy Medical Group Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
72
Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

21001 Sherman Way Ste 15
Canoga Park, CA 91303-1760
Phone: (818) 716-0048
Fax: (818) 785-3330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence C41801 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence C41801 (CA)

Record details

NPI number1134337975
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2007
Last updated in NPPESDecember 11, 2011

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesFAMILY PRACTICE, GENERAL PRACTICE
Medical schoolOTHER
Graduated 1954 (72 years in practice)
Group practice Roy Medical Group Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Canoga Park