Individual provider Active NPI

Daniel Dean Anderson, M.D.

  • Psychiatry Physician
  • Vista, CA
National Provider Identifier
1033267166
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G64471 Issued in CA
Practice address
380 S Melrose Dr
Vista, CA 92081-6641
Phone
(619) 807-7224
Fax
(310) 367-0379
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G64471 CA Primary

Addresses

Primary practice location

380 S Melrose Dr
Vista, CA 92081-6641

Mailing address

3901 Stanford Dr
Oceanside, CA 92056-6361
Phone (619) 807-7724

Other practice location 1

3901 Stanford Dr
Oceanside, CA 92056-6361
Phone (619) 807-7724

Other practice location 2

4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (619) 807-7224

Other practice location 3

2810 Camino Del Rio S
San Diego, CA 92108-3818
Phone (619) 299-1419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040823000722 CA Practitioner - Psychiatry 8022909860 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crescent Wound Care IncGroup PAC ID 3274914502, 29 clinicians
Dazzle Health P CGroup PAC ID 4082146634, 26 clinicians

Practice addresses (Care Compare)

1310 W Granger Ave
Modesto, CA 95350-3911
Phone (858) 967-3070

18650 Macarthur Blvd
Irvine, CA 92612-1244
Phone (412) 996-9012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G64471CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Medical Associates, Inc. CurrentSince Feb 22, 2023 Accepting new patients
Crescent Post Acute Consultants Inc CurrentSince Aug 21, 2025 Accepting new patients
Santa Barbara County County Auditor CurrentSince May 2, 2024 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Feb 1, 2023 Accepting new patients
Crescent Wound Care Inc CurrentSince Jul 18, 2025 Accepting new patients
Crescent Wound Care Inc CurrentSince Jul 18, 2025 Accepting new patients
Santa Barbara County Auditor CurrentSince May 2, 2024 Accepting new patients
Dazzle Health P C CurrentSince Aug 1, 2025 Accepting new patients
Culver City Psychological Associates, Inc. Past Accepting new patients
Recovery Innovations Inc PastSince Oct 1, 2019 Accepting new patients
Symed-Cal Medical Group Psychiatry Past Accepting new patients
Dr. Daniel Dean Anderson, MD Psychiatry PastSince Jan 18, 2002 Accepting new patients

Locations

442 Sunset Blvd
Cherryland, CA 94541
Phone (510) 582-8311

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

18650 MacArthur Blvd
Ste 450
Irvine, CA 92612
Phone (949) 570-7750

18650 MacArthur Blvd
Irvine, CA 92612
Phone (412) 996-9012

5580 La Jolla Blvd
La Jolla, CA 92037
Phone (619) 438-4119

1310 W Granger Ave
Modesto, CA 95350
Phone (209) 473-3896

400 E Orangeburg Ave
Ste 5
Modesto, CA 95350
Phone (209) 524-7347

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

2810 Camino del Rio S
San Diego, CA 92108
Phone (619) 299-1419

2810 Camino del Rio S
Ste 102
San Diego, CA 92108
Phone (619) 299-1419

429 N San Antonio Rd
Santa Barbara, CA 93110
Phone (805) 884-1600

4444 Calle Real
Santa Barbara, CA 93110
Phone (805) 681-5190

1630 N Edison St
Stockton, CA 95204
Phone (209) 948-8762

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHGHDD/Endpoint/CHGHDD

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1033267166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 STANFORD DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920566361",
            "telephone_number": "619-807-7724",
            "fax_number": "619-367-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 S MELROSE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816641",
            "telephone_number": "619-807-7224",
            "fax_number": "310-367-0379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Stanford Dr",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920566361",
            "country_code": "US",
            "telephone_number": "619-807-7724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4441 E Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937023604",
            "country_code": "US",
            "telephone_number": "619-807-7224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2810 Camino Del Rio S",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083818",
            "country_code": "US",
            "telephone_number": "619-299-1419",
            "fax_number": "858-461-6008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DANIEL",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G64471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.