NPIMap

Organization Active NPI

Anywhere Clinic PC

  • Psychiatry Physician
  • Mill Valley, CA
National Provider Identifier
1235974700
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ANYWHERE CLINIC PC
Practice address
655 Redwood Hwy Frontage Rd Ste 246
Mill Valley, CA 94941-3055
Phone
(702) 848-2256
NPI assigned
Jun 27, 2024
Last updated
Jan 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ANYWHERE CLINIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Sam Zand, DONPI 1528485570
Title
Owner
Phone
(702) 919-1508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary
Physician Assistant 363A00000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

655 Redwood Hwy Frontage Rd Ste 246
Mill Valley, CA 94941-3055

Mailing address

4029 Dean Martin Dr
Las Vegas, NV 89103-4138
Phone (702) 848-2256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250623003977 CA Part B Supplier - Clinic/Group Practice 5799297016 Receives reassigned benefits from 5 practitioners
Practice locations: Mill Valley, CA

National Provider Directory

National Provider Directory
Part of
Anywhere Clinic LLC

Locations

3451 E Copper Point Dr
Ste 105
Meridian, ID 83642

4029 Dean Martin Dr
Las Vegas, NV 89103
Phone (702) 919-1508

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1235974700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 DEAN MARTIN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034138",
            "telephone_number": "702-848-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY FRONTAGE RD STE 246",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413055",
            "telephone_number": "702-848-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANYWHERE CLINIC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANYWHERE CLINIC LLC",
        "enumeration_date": "2024-06-27",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "ZAND",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-919-1508",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.