Timothy Anderson, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

C52816 Issued in CA

Practice address

94 Selby LN
Atherton, CA 94027-3953

Phone

(650) 366-4665

NPI assigned

Apr 22, 2013

Last updated

Sep 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442707200000",
    "number": "1215371141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 SELBY LN",
            "city": "ATHERTON",
            "state": "CA",
            "postal_code": "940273953",
            "telephone_number": "650-366-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 SELBY LN",
            "city": "ATHERTON",
            "state": "CA",
            "postal_code": "940273953",
            "telephone_number": "650-366-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-22",
        "last_updated": "2015-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C52816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isha Abdullah
• Acute Allergy Asthma and Immunology of Atherton, Inc. (Atherton Allergists)
• Virginia Marguerite Anderson, PH.D.
• Andrew B Newman M D Apc
• Atherton Plastic Surgery Center
• Katarina Rose Azzimonti, BS
• B. Douglas Lewis, M.D., a Professional Corporation (Peninsula Vascular Center)

• Emergency Medicine Physician in Atherton, CA
• Providers in Atherton, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2015; 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.