Donald L Anderson, M.D.
Individual provider Active NPI Anesthesiology Physician · Loma Linda, CA
NPI 1083635528 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083635528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- G28968 (CA)
- Practice address
- 11234 Anderson St
Loma Linda, CA 92354-2804 - Phone
- (909) 558-4475
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Loma Linda University School of Medicine, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Faculty Physicians and Surgeons of Llusm
Practice addresses (Care Compare)
11370 Anderson St
Loma Linda, CA 92354-3450
26780 Barton Rd
Redlands, CA 92373-4308
Phone (909) 558-5174
Hospital & facility affiliations
- Loma Linda University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081205000206 | CA | Practitioner - Anesthesiology | 6305907643 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28968 | CA | MD | Clinical Social Worker |
| G28968 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current |
Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Anesthesiology | Current |
Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Loma Linda University Children'S Hospital | Past | Accepting new patients | |
| Loma Linda Univ Anesthesiology Medical Group Inc | Anesthesiology | Past | Accepting new patients |
| Loma Linda University Medical Center | Past | Accepting new patients |
Locations
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
Interoperability endpoints
- danderson53719@direct.llu.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G28968 | CA | Yes |
Addresses
Primary practice location
11234 Anderson St
Loma Linda, CA 92354-2804
Mailing address
55799 File Number
Los Angeles, CA 90074-5799
Phone (800) 326-6223
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G289680 | Medicaid | CA |
Other providers in Loma Linda, CA
- Bailey Taylor Anderson
- Cambria Anderson
- Charles Kent Anderson
- Danyon Anderson
- Devin Anderson
- Garth Alan Anderson
- Keith Erik Anderson
- Lindsey Diane Anderson
- Nancy Anderson
- Nicholas Tyler Andrew
All providers in Loma Linda, CA · Anesthesiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.