Individual
ANDREW WARD ANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
528 CAPITOLA AVE, CAPITOLA, CA 95010-2750
(831) 475-1630
(831) 475-1629
Mailing address
528 CAPITOLA AVE, CAPITOLA, CA 95010-2750
(831) 475-1630
(831) 475-1629
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A191525
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2022
Last updated
09/03/2025
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