Organization Active NPI

Get Well Stay Well Medical

  • Adult Medicine Physician
  • San Diego, CA
National Provider Identifier
1124307970
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
20A5441 Issued in CA
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

Updated by the provider on Jan 18, 2012

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)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.