Charles Edward Anderson Jr., MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

G44919 Issued in CA

Practice address

1180 N Indian Canyon Dr
Ste E408
Palm Springs, CA 92262-4800

Phone

(760) 969-5200

Fax

(760) 969-5201

NPI assigned

Jun 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Loma Linda University School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Andrew W Hesseltine MD IncGroup PAC ID 8224088091, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BAAEDD
• FHIR API: https://fhir4.healow.com/fhir/r4/BAAEDD/Endpoint/BAAEDD

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.

• Andrew W Hesseltine, M.D., Inc

  • Pain Medicine (Anesthesiology) Physician
  • Colton, CA
  • NPI 1184766685
  Medicare reassignment Care Compare group NPD
• Rancho Mirage Pain Associates, Inc.

  • Anesthesiology Physician
  • Rancho Mirage, CA
  • NPI 1730286600

  Pain Medicine

  Medicare reassignment NPD
• Rancho Mirage Pain Center Inc

  • Pain Clinic/Center
  • Rancho Mirage, CA
  • NPI 1093885675
  NPD (past)
• Diagnostic Imaging Services

  • Magnetic Resonance Imaging (MRI) Internal Medicine Physician
  • Metairie, LA
  • NPI 1699793166
  NPD (past)

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1386646347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR",
            "address_2": "STE E408",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624868",
            "telephone_number": "760-969-5200",
            "fax_number": "760-969-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR",
            "address_2": "STE E408",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624800",
            "telephone_number": "760-969-5200",
            "fax_number": "760-969-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G44919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Lavaf MD Inc
• Matthew James Ancheta, PHARM.D.
• Pisey E. Ancheta, PHAM.D.
• Danielle Ray B Anciro, MD
• Brian Leroy Anderson, M.D
• Jeffrey Anderson, CADC-CS, ICCS, ICADC
• Jill Nicole Anderson, RDH
• Ryan Anderson, O.D.
• Ursula Gertrude Anderson, MFT INTERN
• Karla Andrade

• Pain Medicine (Anesthesiology) Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.