Active NPI
William Dean Anderson Jr., MD
- Facial Plastic Surgery Physician
- Turlock, CA
National Provider Identifier
1366490724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- G83962
- Practice address
- 1117 E Main St Ste a
Turlock, CA 95380-3443 - Phone
- (209) 417-1757
- Fax
- (209) 417-1756
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | G83962 | CA | |
| Facial Plastic Surgery Physician | 207YS0123X | G83962 | CA | Primary |
Addresses
Primary practice location
1117 E Main St Ste a
Turlock, CA 95380-3443
Mailing address
1117 E Main St Ste a
Turlock, CA 95380-3443
Phone (209) 417-1757
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060110000591 | CA | Practitioner - Otolaryngology | 3971526575 | Practice locations: Turlock, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Southern California Keck School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1117 E Main St
Suite a
Turlock, CA 95380-3443
Phone (209) 417-1757
Hospital & facility affiliations
- Emanuel Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 45 |
| Removal of skin lesions | 124 |
| Removal or shaving of skin growth | 50 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G83962 | CA | MD | Facial Plastic Surgery Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Turlock, CA
- NPI 1396087672
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1366490724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 E MAIN ST STE A",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953803443",
"telephone_number": "209-417-1757",
"fax_number": "209-417-1756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 E MAIN ST STE A",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953803443",
"telephone_number": "209-417-1757",
"fax_number": "209-417-1756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "WILLIAM",
"middle_name": "DEAN",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "CA",
"license": "G83962",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "CA",
"license": "G83962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.