Fred L Anderson, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Hesperia, CA
NPI 1275600017 · NPPES record last updated Nov 3, 2017
Key facts
- NPI
- 1275600017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- E2293 (CA)
- Practice address
- 18151 Bear Valley Rd
Hesperia, CA 92345-4907 - Phone
- (760) 948-7400
- Fax
- (760) 948-7866
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Care Medical Group Inc. | Current |
Accepting new patients |
Locations
1655 N Mount Vernon Ave
Ste B1
San Bernardino, CA 92411
Phone (909) 586-6260
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E2293 | CA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E2293 | CA | Yes |
Addresses
Primary practice location
18151 Bear Valley Rd
Hesperia, CA 92345-4907
Mailing address
18151 Bear Valley Rd
Hesperia, CA 92345-4907
Phone (760) 948-7400
Other providers in Hesperia, CA
- Amazing Grace Oasis
- Amazing Grace Oasis II
- Amazing Grace Oasis III
- Daisy Lupe Anaya
- Alexis Anderson
- Luisa Daniela Andrade
- Hannah Andrawis
- Andrew J. Lim, DDS, Inc.
- Andruski Family Counseling Inc
- Kasey Andruski
All providers in Hesperia, CA · Foot & Ankle Surgery Podiatrist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.