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

Mark Anantiyo

Individual provider Physician Assistant · NPI 1245958453

Mark Anantiyo is a Physician Assistant in Pomona, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

309 E 2nd St
Pomona, CA 91766-1854
Phone: (909) 623-6111
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence PA61663 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1245958453
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 15, 2022
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023
Mailing address7617 E Hollow Oak Rd, Anaheim, CA 92808-1426

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