Provider Demographics
NPI:1679501100
Name:TON, ANTHONY TUAN (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:TUAN
Last Name:TON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11864 RIVER RIM RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-1151
Mailing Address - Country:US
Mailing Address - Phone:619-528-6226
Mailing Address - Fax:619-528-6588
Practice Address - Street 1:4647 ZION AVE
Practice Address - Street 2:DIAGNOSTIC IMAGING
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-2507
Practice Address - Country:US
Practice Address - Phone:619-528-6226
Practice Address - Fax:619-528-6588
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA909342085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A909340OtherMEDICAL
CA00A909340OtherBLUE SHIELD
CAI34805Medicare UPIN
CAWA90934BMedicare ID - Type Unspecified
CA00A909340OtherBLUE SHIELD