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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANITA VAIDYANATHAN, PA-C

Active Sole Proprietor

ANITA VAIDYANATHAN, PA-C is a Physician Assistant healthcare provider located in PLAYA VISTA, California. NPI 1881247393 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PLAYA VISTA, CA

Registration Details

NPI Number
1881247393
Provider Type
Individual
Gender
Female
NPI Issued
Jul 23, 2019 (7.0637616747545 yrs)
Last Updated
Jul 23, 2019
Sole Proprietor
Yes

Practice Information

Address
12665 VILLAGE LN APT 4507
PLAYA VISTA, CA, 900942863
Browse CA providers · Browse ZIP 90094
Phone
9492019955
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PLAYA VISTA, CA

Name Credential NPI
MEGAN MYERS DETOY PA-C 1316361942
MOLLY STEPHANIE SHEPHERD 1972156222
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.