Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Anthony James Antenorcruz Jr., PA-C

Individual provider Physician Assistant · NPI 1376722884

Mr. Anthony James Antenorcruz Jr., PA-C is a Physician Assistant in Upland, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

585 N Mountain Ave Ste A
Upland, CA 91786-8516
Phone: (909) 946-2228
Fax: (909) 946-8007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA16047 (CA)

Record details

NPI number1376722884
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 31, 2007
Last updated in NPPESMarch 25, 2013

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