Rex Paul Anderson, C.PED., HAS

Primary specialty

SpecialistTaxonomy code 174400000X

License

2456 Issued in CA

Practice address

280 Lytton Ave. Suite 1
Palo Alto, CA 94301

Phone

(408) 761-5023

Fax

(408) 761-5023

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1316050404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 LYTTON AVE STE 1",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011536",
            "telephone_number": "408-761-5023",
            "fax_number": "408-228-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 LYTTON AVE. SUITE 1",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94301",
            "telephone_number": "408-761-5023",
            "fax_number": "408-761-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "REX",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "C.PED., HAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "2456",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "7620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Anderson
• Jill Ashley Anderson, NP
• Kathryn Grace Anderson, MD
• Kelley Elizabeth Anderson, M.S., M.A., PHD
• Melissa Diane Anderson
• Sarah Anderson, DPT
• Susan Anderson, MD
• Thomas Anthony Anderson, MD, PHD
• Winifred D Anderson, LMFT
• Ashley Ando, RRT

• Specialist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.