DR. ELLIOTT TODD ANTMAN (NPI# 1093342586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093342586 |
| Entity Type | Individual |
| Full Name | DR. ELLIOTT TODD ANTMAN |
| Credential | MD |
| Practice Address |
505 S Main St Ste 525 Orange CA 92868-4553 |
| Mailing Address |
1605 Manzanita Ln Manhattan Beach CA 90266-4253 |
| Practice Telephone | 7144565631 |
| Mailing Telephone | 7204980013 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598721748 | Elliott Marshall Antman | Internal Medicine | 75 Francis Street Pbb 1, Brigham and Women's Hospital Cardiovascular Division, Boston, MA 02115 | 2006-04-25 |
| Street Address |
505 S MAIN ST STE 525 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-4553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932439288 | Shiloni Doshi Bhambani | Student in an Organized Health Care Education/Training Program | 505 S Main St Ste 525, Orange, CA 92868-4553 | 2010-01-09 |
| 1588291108 | Ian Straehley | Student in an Organized Health Care Education/Training Program | 505 S Main St Ste 525, Orange, CA 92868-4553 | 2020-03-24 |
| 1043846959 | Luke Yu | Student in an Organized Health Care Education/Training Program | 505 S Main St Ste 525, Orange, CA 92868-4553 | 2020-03-23 |
| 1720615644 | Quynh A Pham | Pediatrics | 505 S Main St Ste 525, Orange, CA 92868-4553 | 2020-03-23 |
| 1811524705 | Allissia Gilmartin | Student in an Organized Health Care Education/Training Program | 505 S Main St Ste 525, Orange, CA 92868-4553 | 2020-03-23 |
| 1306472279 | Sabiha Rabia Hussain | Student in an Organized Health Care Education/Training Program | 505 S Main St Ste 525, Orange, CA 92868-4553 | 2020-03-22 |
| 1861028714 | Prachi Rajesh Shah | Student in an Organized Health Care Education/Training Program | 505 S Main St Ste 525, Orange, CA 92868-4553 | 2020-03-22 |
| 1477189496 | Bryston Chang | Student in an Organized Health Care Education/Training Program | 505 S Main St Ste 525, Orange, CA 92868-4553 | 2020-03-21 |
| 1447886445 | Erin Danielle Myers | Student in an Organized Health Care Education/Training Program | 505 S Main St Ste 525, Orange, CA 92868-4553 | 2020-03-21 |
| 1477189488 | Kayla Buker | Student in an Organized Health Care Education/Training Program | 505 S Main St Ste 525, Orange, CA 92868-4553 | 2020-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972122109 | Benjamin Felt Bitner | Student in an Organized Health Care Education/Training Program | 101 The City Dr S # Zot5386, Orange, CA 92868-3201 | 2020-04-08 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1508492547 | Megan Rose Defuria | Student in an Organized Health Care Education/Training Program | 505 S Main St Ste 524, Orange, CA 92868-4509 | 2020-03-22 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1023661899 | Brittanee Lorynda Carranza | Student in an Organized Health Care Education/Training Program | 301 The City Dr S # 44, Orange, CA 92868-3205 | 2019-07-22 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1760047930 | Nina Christine Del Mundo | Student in an Organized Health Care Education/Training Program | 5817 E West View Dr, Orange, CA 92869-4315 | 2019-05-03 |
| 1720541048 | Elaine Christine Martin | Student in an Organized Health Care Education/Training Program | 101 The City Dr S # 2, Orange, CA 92868-3201 | 2019-04-12 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
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| 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.