Andrea D. Anderson, MD., Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ANDREA D. ANDERSON, MD., INC.

Practice address

2083 Compton Ave Ste 105
Corona, CA 92881-7288

Phone

(951) 268-8112

NPI assigned

Aug 8, 2024

Organization subpart

Yes

Parent organization

PROFESSIONAL WOUND CARE SERVICESAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrea AndersonNPI 1649498015

Title

Medical Director

Phone

(951) 268-8120

Specialties & licenses 1

Addresses

Other names 1

• Professional Wound Care Services Doing business as

Tax ID family

Andrea D Anderson MD Inc2 organizations share this tax ID, including this one

Part of

Andrea D Anderson MD Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Andrea D. Anderson, MD., Inc.

  • Surgery Physician
  • Corona, CA
  • NPI 1508139676
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Anderson, MD

  • Surgery Physician
  • Corona, CA
  • NPI 1649498015
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1205667623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6146",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928786146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2083 COMPTON AVE STE 105",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817288",
            "telephone_number": "951-268-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA D. ANDERSON, MD., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFESSIONAL WOUND CARE SERVICES",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-268-8120"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Wound Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trinity Diane Anderson I
• Anne Andrade
• Jennifer Isabel Andrade
• Kassandra Andrade
• Maricruz Andrade
• Andrea D. Anderson, MD., Inc.
• Andrew S. Florea MD, Inc.
• Andrea Andrews
• Rebecca Andrews
• Andy Yang, MD, Inc

• Surgery Physician in Corona, CA
• Providers in Corona, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.