Provider Demographics
NPI:1972666220
Name:YORK, ANITA CAROL (MD)
Entity Type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:CAROL
Last Name:YORK
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:PO BOX 31001-1920
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91110-1920
Mailing Address - Country:US
Mailing Address - Phone:714-578-8544
Mailing Address - Fax:714-449-4956
Practice Address - Street 1:845 W LA VETA AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3930
Practice Address - Country:US
Practice Address - Phone:714-639-2600
Practice Address - Fax:714-449-4956
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG47957174400000X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG47957OtherMEDICAL LICENSE
CAOOG479570Medicaid
CAWG47957AMedicare PIN
CAG47957OtherMEDICAL LICENSE