Individual
DR. MATHENI SATHANANTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4909
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4909
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036130494
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
104294
MN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
52362
MN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
A142863
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036130494
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147142
MEDICARE PTAN (INDIVIDUAL)
IL
05
—
ENROLLED
—
MN
01
—
P00739716
MEDICARE, RAILROAD
MN
01
—
P01144137
RAILROAD MEDICARE INDIVIDUAL PTAN
IL
Enumeration date
01/04/2009
Last updated
03/02/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us