Dr. Anthony Pio Vitarelli, D.D.S.
Dentist, General Practice in San Jose, CA. Individual provider (NPI-1).
NPI number1487844577
StatusActive
Last updated in NPPESOct 11, 2016
Details
- NPI
- 1487844577
- Entity type
- Individual (NPI-1)
- Name
- Dr. Anthony Pio Vitarelli
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2007
- Last updated
- Oct 11, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 54929 | CA | Yes |
Practice location
2075 Forest Ave Ste 6San Jose, CA 95128-4812
Phone 408-287-3892 · Fax 408-293-7765
Mailing address
2075 Forest Ave Ste 6San Jose, CA 95128-4812
Phone 408-287-3892 · Fax 408-293-7765
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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