JENNIFER ANZO (NPI# 1992044770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992044770 |
| Entity Type | Individual |
| Full Name | JENNIFER ANZO |
| Practice Address |
1024 14th St Apt D Santa Monica CA 90403-7205 |
| Mailing Address |
Po Box 31309 Los Angeles CA 90031-0309 |
| Practice Telephone | 9704457355 |
| Mailing Telephone | 3234425849 |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA23071 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA 0003643 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1024 14TH ST APT D |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403-7205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518239078 | Cortney Lee Spraker | Physician Assistant | 1301 20th St Ste 440, Santa Monica, CA 90404-2109 | 2012-01-30 |
| 1063514578 | Christopher Stephen Novits | Physician Assistant | 1222 Princeton St, Unit 18, Santa Monica, CA 90404-1449 | 2006-09-04 |
| 1508358805 | Grace Castanon | Physician Assistant | 2001 Santa Monica Blvd Ste 760w, Santa Monica, CA 90404-2102 | 2018-06-01 |
| 1548547532 | Physician Assistant Surgical Specialists, Inc. | Physician Assistant | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2011-11-04 |
| 1508172016 | Stephanie E Pongracz | Physician Assistant | 2020 Santa Monica Blvd, Suite 400, Santa Monica, CA 90404-2023 | 2010-08-20 |
| 1447370697 | Cheri Phillips | Physician Assistant | 1301 20th St, 400, Santa Monica, CA 90404-2050 | 2007-03-30 |
| 1457494197 | Tanya Marie Cariveau | Physician Assistant | 1328 22nd St, Orthopedic Department, Santa Monica, CA 90404-2032 | 2007-02-14 |
| 1548302771 | Jason Menadue | Physician Assistant | 2001 Santa Monica Blvd Ste 760w, Santa Monica, CA 90404-2102 | 2007-02-13 |
| 1619912276 | Lisa Marie Cano | Physician Assistant | 1301 20th St, Santa Monica, CA 90404-2080 | 2006-06-18 |
| 1811986672 | Liv S. Hagstrom | Physician Assistant | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2005-10-14 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90403 |
Please comment or provide details below to improve the information on JENNIFER ANZO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.