Active NPI
Anders E Grant, MD
- Student in an Organized Health Care Education/Training Program
- Modesto, CA
National Provider Identifier
1093706244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 18596
- Practice address
- 1400 Florida Ave Ste 102
Modesto, CA 95350-4446 - Phone
- (209) 722-4842
- NPI assigned
- Nov 4, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D02163 | MD | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 18596 | CA | Primary |
Addresses
Primary practice location
1400 Florida Ave Ste 102
Modesto, CA 95350-4446
Mailing address
1400 Florida Ave Ste 102
102
Modesto, CA 95350-4446
Phone (443) 842-6788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786147200000",
"number": "1093706244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 FLORIDA AVE STE 102",
"address_2": "102",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504446",
"telephone_number": "443-842-6788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 FLORIDA AVE STE 102",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504446",
"telephone_number": "209-722-4842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "ANDERS",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-04",
"last_updated": "2026-08-08",
"certification_date": "2026-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "D02163",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "18596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.