Active NPI
Get Well Stay Well Medical
- Adult Medicine Physician
- San Diego, CA
National Provider Identifier
1124307970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 20A5441
- Legal business name
- GET WELL STAY WELL MEDICAL
- Doing business as
- Anderson Medical Center
- Practice address
- 1945 Garnet Ave
San Diego, CA 92109-3595 - Phone
- (858) 224-7977
- Fax
- (858) 224-7978
- NPI assigned
- Aug 11, 2011
- 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. Kenneth L. Anderson III, D.O.
- Title
- Ceo
- Phone
- (858) 224-7977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 20A5441 | CA | Primary |
Addresses
Primary practice location
1945 Garnet Ave
San Diego, CA 92109-3595
Mailing address
1945 Garnet Ave
San Diego, CA 92109-3595
Phone (858) 224-7977
Other names 1
- Anderson Medical Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326844800000",
"number": "1124307970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 GARNET AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921093595",
"telephone_number": "858-224-7977",
"fax_number": "858-224-7978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 GARNET AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921093595",
"telephone_number": "858-224-7977",
"fax_number": "858-224-7978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GET WELL STAY WELL MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-11",
"last_updated": "2012-01-18",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "858-224-7977",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "CA",
"license": "20A5441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Anderson Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.