Organization Active NPI

Daniel C Anderson MD Inc

  • Family Medicine Physician
  • San Leandro, CA
National Provider Identifier
1033244256
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C21254 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.