Mr Antiba Graham, is a
Social Worker - Clinical based in Lancaster, California. Mr Antiba Graham is licensed to practice in California (license number 106710) and his current practice location is
506 W Jackman St, Lancaster, California. He can be reached at his office (for appointments etc.) via phone at
(661) 726-2850.
NPI number for Mr Antiba Graham is 1730589193 and his current mailing address is 506 W Jackman St, Lancaster, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730589193.
Healthcare Provider's Profile
Full Name | Mr Antiba Graham |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 506 W Jackman St, Lancaster, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730589193
- Provider Enumeration Date: 09/03/2014
- Last Update Date: 08/01/2022
Medical Identifiers
Medical identifiers for Mr Antiba Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730589193 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 106710 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Antiba Graham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Antiba Graham, 506 W Jackman St, Lancaster, CA 93534-2531 Ph: (661) 726-2850 | Mr Antiba Graham, 506 W Jackman St, Lancaster, CA 93534-2531 Ph: (661) 726-2850 |
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