NPIMap

Organization Active NPI

Stuart T Anderson, MD, a Professional Corporation

  • Anesthesiology Physician
  • San Clemente, CA
National Provider Identifier
1386059657
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G50002 Issued in CA
Legal business name
STUART T ANDERSON, MD, A PROFESSIONAL CORPORATION
Practice address
604 Via Promontorio
San Clemente, CA 92672-2458
Phone
(949) 248-9750
NPI assigned
Jun 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Dr. Stuart T Anderson
Title
President/Ceo
Phone
(949) 248-9750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X G50002 CA Primary

Addresses

Primary practice location

604 Via Promontorio
San Clemente, CA 92672-2458

Mailing address

604 Via Promontorio
San Clemente, CA 92672-2458
Phone (949) 248-9750

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1386059657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 VIA PROMONTORIO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926722458",
            "telephone_number": "949-248-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 VIA PROMONTORIO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926722458",
            "telephone_number": "949-248-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART T ANDERSON, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "949-248-9750",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G50002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.