ANTHONY-TU DO
Complete NPI Record 1154070910
Student in an Organized Health Care Education/Training Program in Whittier, CA
NPI Status: Active since March 21, 2022
- NPI
- Entity Type Code
- Provider Last Name Legal Name
- Provider First Name
- Provider First Line Business Mailing Address
- Provider Business Mailing Address City Name
- Provider Business Mailing Address State Name
- Provider Business Mailing Address Postal Code
- Provider Business Mailing Address Country Code If outside U S
- Provider Business Mailing Address Telephone Number
- Provider Business Mailing Address Fax Number
- Provider First Line Business Practice Location Address
- Provider Business Practice Location Address City Name
- Provider Business Practice Location Address State Name
- Provider Business Practice Location Address Postal Code
- Provider Business Practice Location Address Country Code If outside U S
- Provider Business Practice Location Address Telephone Number
- Provider Enumeration Date
- Last Update Date
- Provider Gender Code
- Healthcare Provider Taxonomy Code 1
- Healthcare Provider Primary Taxonomy Switch 1
- Is Sole Proprietor
- NPI Certification Date
Complete NPI Dataset
This page represents the complete record for NPI 1154070910. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.
- NPI: 1154070910
- The middle name of the provider, if the provider is an individual.
- Entity Type Code: 1
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: DO
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: ANTHONY-TU
- The first name of the provider, if the provider is an individual.
- Provider First Line Business Mailing Address: 12291 WASHINGTON BLVD
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: WHITTIER
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: CA
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 906062500
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 5626982541
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 5627894340
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 12291 WASHINGTON BLVD
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address City Name: WHITTIER
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address State Name: CA
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Postal Code: 906062500
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Country Code If outside U S : US
- The fax number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 5626982541
- The date the provider was assigned a unique identifier (assigned an NPI).
- Provider Enumeration Date: 3/21/2022
- The date the provider was assigned a unique identifier (assigned an NPI).
- Last Update Date: 1/23/2024
- The date the provider was assigned a unique identifier (assigned an NPI).
- Provider Gender Code: M
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 390200000X
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Primary Taxonomy Switch 1: Y
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: N
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
- NPI Certification Date: 1/23/2024
- The date on which the National Provider Identifier (NPI) was officially assigned and certified to the provider. This reflects when the provider's NPI record first became active in the NPPES system.