Frederick Ryan Anderson, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G021295 Issued in CA

Practice address

909 San Ramon Valley Blvd Ste #214
Danville, CA 94526-4038

Phone

(925) 820-9898

Fax

(925) 820-6514

NPI assigned

Apr 24, 2008

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 6, 2008.

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1194990747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SAN RAMON VALLEY BLVD STE #214",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264038",
            "telephone_number": "925-820-9898",
            "fax_number": "925-820-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SAN RAMON VALLEY BLVD STE #214",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264038",
            "telephone_number": "925-820-9898",
            "fax_number": "925-820-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "FREDERICK",
        "middle_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G021295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michiyo Ambrosius, PHD
• Ashlie Ambus
• Malini Anand
• Andersen Orthopedics, a Professional Corporation
• Lucille B. Andersen, M.D.
• Weston Louis Anderson, PT DPT
• Andrew L Nash, MD, a Medical Corporation
• Alexis Andujo
• Michael Margarito Angeles Jr.
• Edlyn Angulo Gaxiola

• All providers in Danville, CA
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.