Active NPI
Barbara G. Andersen, MD
- Radiation Oncology Physician
- Yucca Valley, CA
National Provider Identifier
1255355053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- G52853
- Practice address
- 58295 29 Palms Hwy
Yucca Valley, CA 92284-5803 - Phone
- (760) 365-6300
- Fax
- (760) 396-1200
- NPI assigned
- Jul 26, 2006
- Last updated
- Dec 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G52853 | CA | |
| Radiation Oncology Physician | 2085R0001X | G52853 | CA | Primary |
Addresses
Primary practice location
58295 29 Palms Hwy
Yucca Valley, CA 92284-5803
Mailing address
2234 Colonial Blvd
Attn: Managed Care Dept.
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0063580 | Medicaid | CA | |
| P00759920 | Other | CA | RAILROAD MEDICARE |
| 3753022 | Other | CA | CIGNA |
| 4138200 | Other | CA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G52853 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesiscare USA of California a Medical Corporation | Radiation Oncology | Past | Accepting new patients |
| Genesiscare USA of California a Medical Corporation | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba GenesisCare of California A Medical Corporation
- Radiation Oncology Physician
- Palm Desert, CA
- NPI 1861472318
-
dba GenesisCare of California A Medical Corporation
- Radiation Oncology Physician
- Modesto, CA
- NPI 1881624583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1255355053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"address_2": "ATTN: MANAGED CARE DEPT.",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071412",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58295 29 PALMS HWY",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922845803",
"telephone_number": "760-365-6300",
"fax_number": "760-396-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSEN",
"first_name": "BARBARA",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G52853",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "G52853",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0063580",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00759920",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3753022",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4138200",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.