Organization Active NPI

Albert Robert Anderson III a Medical Corporation

  • Family Medicine Physician
  • Hemet, CA
National Provider Identifier
1063156347
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALBERT ROBERT ANDERSON III A MEDICAL CORPORATION
Practice address
1000 E Latham Ave Ste G
Hemet, CA 92543-4409
Phone
(951) 391-0580
Fax
(951) 391-0585
NPI assigned
Apr 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Albert R Anderson III, MDNPI 1013002435
Title
Owner
Phone
(760) 760-6983

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1000 E Latham Ave Ste G
Hemet, CA 92543-4409

Mailing address

81719 Dr Carreon Blvd Ste F
Indio, CA 92201-5518
Phone (760) 462-6880

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1063156347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81719 DR CARREON BLVD STE F",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015518",
            "telephone_number": "760-462-6880",
            "fax_number": "442-300-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E LATHAM AVE STE G",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434409",
            "telephone_number": "951-391-0580",
            "fax_number": "951-391-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT ROBERT ANDERSON III A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-23",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-760-6983",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.