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

Marina Antonova

Individual provider Specialist · NPI 1407746878

Marina Antonova is a Specialist in Santa Rosa, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

2235 Mercury Way Ste 107
Santa Rosa, CA 95407-5472
Phone: (415) 849-5700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Specialist Taxonomy 174400000X

Record details

NPI number1407746878
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 8, 2025
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address2235 Mercury Way Ste 107, Santa Rosa, CA 95407-5472

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