# EMIL A ANAYA MD, INC. A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871627463
- **Authorized official:** DR. EMIL ALBERTO ANAYA M.D. (PRESIDENT OWNER)
- **Authorized official phone:** (408) 258-8760

## Contact information

- **Practice address:** 105 N BASCOM AVE, SUITE 104, SAN JOSE, CA 95128-1811
- **Practice address phone:** (408) 258-8760
- **Practice address fax:** (408) 258-8760
- **Mailing address:** PO BOX 3133, SAN JOSE, CA 95156-3133
- **Mailing address phone:** (408) 258-8760
- **Mailing address fax:** (408) 258-3645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | A25810 | CA | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 09/18/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1811994445 | INDIVIDUAL NPI | — |
| 01 | — | A25810 | CALIFORNIA MEDICAL LICENS | CA |
| 01 | — | ZZZ06033Z | GROUP PTAN | CA |