Healthcare Provider Details

I. General information

NPI: 1609233709
Provider Name (Legal Business Name): MICHAEL ANTHONY SAXTON JR. C.N.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2016
Last Update Date: 01/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5205 PROSPECT RD SUITE 135
SAN JOSE CA
95129-5000
US

IV. Provider business mailing address

5205 PROSPECT RD SUITE 135
SAN JOSE CA
95129-5000
US

V. Phone/Fax

Practice location:
  • Phone: 408-963-7328
  • Fax:
Mailing address:
  • Phone: 408-963-7328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: