Active NPI
James S Andersen, MD
- Plastic Surgery Physician
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- G71255
- Practice address
- 625 S Fair Oaks Ave Ste 270&380
Pasadena, CA 91105-2613 - Phone
- (424) 314-0177
- Fax
- (424) 314-0180
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G71255 | CA | |
| Plastic Surgery Physician | 208200000X | G71255 | CA | Primary |
Addresses
Primary practice location
625 S Fair Oaks Ave Ste 270&380
Pasadena, CA 91105-2613
Mailing address
4140 W 190TH St
Torrance, CA 90504-5513
Other practice location 1
1500 E Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G712550 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@cityofhope.direct-ci.com | CITY OF HOPE MEDICAL FOUNDATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Jefferson Medical College of Thomas Jefferson University, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
625 S Fair Oaks Ave
Suite 100
Pasadena, CA 91105-2640
Phone (424) 314-7695
Hospital & facility affiliations
- Huntington Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 84.79
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.15
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 52 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G71255 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Usc Arcadia Hospital | Past | Accepting new patients | |
| CHHP Holdings II, LLC | Past | Accepting new patients | |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients |
Locations
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
625 S Fair Oaks Ave
Ste 380
Pasadena, CA 91105
Phone (626) 229-8992
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
625 S Fair Oaks Ave
Ste 100
Pasadena, CA 91105
Phone (310) 423-1160
625 S Fair Oaks Ave
Ste 270
Pasadena, CA 91105
Phone (424) 314-0177
625 S Fair Oaks Ave
Ste 270380
Pasadena, CA 91105
Phone (424) 314-0177
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jandersen7988@cityofhope.direct-ci.com
- jandersen415833@direct.cshs.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- General Acute Care Hospital
- Huntington Park, CA
- NPI 1891059127
-
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
-
- Rehabilitation Hospital Unit
- Arcadia, CA
- NPI 1164410593
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1295831741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 W 190TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905045513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 S FAIR OAKS AVE STE 270&380",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052613",
"telephone_number": "424-314-0177",
"fax_number": "424-314-0180"
}
],
"practiceLocations": [
{
"address_1": "1500 E Duarte Rd",
"address_purpose": "LOCATION",
"city": "Duarte",
"state": "CA",
"postal_code": "91010",
"country_code": "US",
"telephone_number": "626-359-8111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSEN",
"first_name": "JAMES",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G71255",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "G71255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G712550",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@cityofhope.direct-ci.com",
"affiliation": "Y",
"affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
"address_1": "1500 E Duarte Rd",
"city": "Duarte",
"state": "CA",
"country_code": "US",
"postal_code": "91010",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.