Active NPI
Alpha J. Anders MD Inc
- Medical Specialty Clinic/Center
- Bakersfield, CA
National Provider Identifier
1104982842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- ALPHA J. ANDERS MD INC
- Practice address
- 1409 Fenwick Dr
Bakersfield, CA 93312-4647 - Phone
- (661) 633-5474
- Fax
- (661) 633-9276
- NPI assigned
- Dec 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alpha Jerome Anders, MD
- Title
- Owner
- Phone
- (661) 633-5474
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
1409 Fenwick Dr
Bakersfield, CA 93312-4647
Mailing address
PO Box 2809
Bakersfield, CA 93303-2809
Phone (661) 633-5474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G522240 | Medicaid | CA |
Other names 1
- Comprehensive Pulmonary and Critical Care Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2828 H St
Ste D
Bakersfield, CA 93301
Phone (661) 336-0622
2203 19th St
Bakersfield, CA 93301
Phone (661) 633-2009
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://api.platform.athenahealth.com/5881/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Bakersfield, CA
- NPI 1114032620
-
- Family Nurse Practitioner
- Bakersfield, CA
- NPI 1770639593
-
- Pulmonary Disease Physician
- Bakersfield, CA
- NPI 1659340339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669593600000",
"number": "1104982842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2809",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933032809",
"telephone_number": "661-633-5474",
"fax_number": "661-633-9276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 FENWICK DR",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933124647",
"telephone_number": "661-633-5474",
"fax_number": "661-633-9276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPHA J. ANDERS MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A",
"authorized_official_last_name": "ANDERS",
"authorized_official_first_name": "ALPHA",
"authorized_official_middle_name": "JEROME",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "661-633-5474",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G522240",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Comprehensive Pulmonary and Critical Care Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.