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

Mr. Lani Domingo Antonio II, PA

Individual provider Physician Assistant · NPI 1467726380

Mr. Lani Domingo Antonio II, PA is a Physician Assistant in Modesto, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

200 E Hackett Rd
Modesto, CA 95358-9415
Phone: (831) 801-7110
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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 PA22113 (CA)

Record details

NPI number1467726380
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 24, 2012
Last updated in NPPESNovember 25, 2013

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