Provider Demographics
NPI:1578547568
Name:VEYTSMAN, ANNA-MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA-MARIA
Middle Name:
Last Name:VEYTSMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 N TUSTIN AVE
Mailing Address - Street 2:#170
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3807
Mailing Address - Country:US
Mailing Address - Phone:714-347-1010
Mailing Address - Fax:714-647-1245
Practice Address - Street 1:7007 N RANGE LINE RD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53209-2620
Practice Address - Country:US
Practice Address - Phone:414-352-3341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG89109207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI31498300Medicaid
WI000146360Medicare PIN
CAGB619V (EMP-SON)Medicare PIN
WIF08019Medicare UPIN
WI31498300Medicaid
CACA196009 (SAS-NAPA)Medicare PIN
CAGB619Z (EMP-AL)Medicare PIN
CAGB619Y (EMP-CC)Medicare UPIN
CAGB619X (EMP-MAR)Medicare PIN
CACA196008 (SAS-CC)Medicare PIN
CAP01112212 (EMP R/R)Medicare PIN
CAGB619W (EMP-SF)Medicare PIN
CAGB619U (EMP-SOL)Medicare PIN