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MARK ANANTIYO
NPI 1245958453
Psychiatry & Neurology - Psychiatry in Pomona, CA

Active since August 15, 2022PECOS Enrolled
309 E 2ND ST, POMONA, CA 91766(909) 623-6111 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2023, Aug 15, 2022 (2 updates tracked since 2022).

About Mark Anantiyo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK ANANTIYO (NPI 1245958453) is an individual psychiatry provider in Pomona, California, licensed in California (PA61663) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245958453
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMARK ANANTIYO
Location Address309 E 2ND STPomona, CA 91766-1854
Mailing Address7617 E Hollow Oak RdAnaheim, CA 92808-1426
Phone(909) 623-6111
Sole ProprietorNo
Enumeration DateAugust 15, 2022
Last NPPES UpdateMay 1, 20232 updates tracked since enumeration
NPPES CertifiedMay 1, 2023
✔ NPI 1245958453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · PA61663
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPhysician AssistantTaxonomy 363A00000X
309 E 2ND ST, Pomona, CA 91766
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Anantiyo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91766 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY IRENE NIELSEN-BROWN PA-C
Physician Assistant (Medical)
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5386
BRITTNEY TUNON
Physician Assistant
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (703) 955-6286
MR. EVAN HERSHMAN
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
CHAU MINH NGUYEN PA-C
Physician Assistant
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (951) 892-4858
AMI PATEL
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
MR. FOUAD HAJJAR
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
THAO BICH VU
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
JULIA B DIAMANT
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Anantiyo's NPI number?

The NPI number for Mark Anantiyo is 1245958453. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Where is Mark Anantiyo located?

Mark Anantiyo practices at 309 E 2nd St, Pomona, CA 91766. The listed phone number is (909) 623-6111.

What is Mark Anantiyo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mark Anantiyo enrolled in Medicare?

Yes. Mark Anantiyo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Anantiyo was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.