Active NPI
Daniel C Anderson MD Inc
- Family Medicine Physician
- San Leandro, CA
National Provider Identifier
1033244256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C21254
- Legal business name
- DANIEL C ANDERSON MD INC
- Practice address
- 13847 E 14TH St Ste 100
San Leandro, CA 94578 - Phone
- (510) 352-6910
- Fax
- (510) 352-4216
- NPI assigned
- Feb 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Clarence Anderson, MEDICAL DOCTOR
- Title
- Doctor of Medicine
- Phone
- (510) 352-6910
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C21254 | CA | Primary |
Addresses
Primary practice location
13847 E 14TH St Ste 100
San Leandro, CA 94578
Mailing address
13847 E 14TH St Ste 100
San Leandro, CA 94578
Phone (510) 352-6910
National Provider Directory
National Provider DirectoryLocations
13847 E 14th St
Ste 101
San Leandro, CA 94578
Phone (510) 351-6424
13847 E 14th St
Ste 100
San Leandro, CA 94578
Phone (510) 351-6424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1033244256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13847 E 14TH ST STE 100",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "94578",
"telephone_number": "510-352-6910",
"fax_number": "510-352-4216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13847 E 14TH ST STE 100",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "94578",
"telephone_number": "510-352-6910",
"fax_number": "510-352-4216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL C ANDERSON MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "CLARENCE",
"authorized_official_title_or_position": "DOCTOR OF MEDICINE",
"authorized_official_telephone_number": "510-352-6910",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MEDICAL DOCTOR"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "C21254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.