Healthcare Provider Details

I. General information

NPI: 1265813471
Provider Name (Legal Business Name): ANANYA SREEPATHI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2015
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25425 ORCHARD VILLAGE RD STE 170
VALENCIA CA
91355-2959
US

IV. Provider business mailing address

25425 ORCHARD VILLAGE RD STE 170
VALENCIA CA
91355-2959
US

V. Phone/Fax

Practice location:
  • Phone: 661-481-0022
  • Fax: 661-306-7588
Mailing address:
  • Phone: 661-481-0022
  • Fax: 661-306-7588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA168680
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: