Jeffrey Anderson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

31749 Issued in CA

Practice address

1010 University Ave
Suite C-201
San Diego, CA 92103-3398

Phone

(619) 295-9791

NPI assigned

Aug 31, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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.

• California Medical Injury & Rehabilitation Physicians Inc

  • Rehabilitation Chiropractor
  • Chula Vista, CA
  • NPI 1154614030
  NPD (past)
• Fix Body Group

  • Chiropractor
  • San Diego, CA
  • NPI 1376888123
  NPD (past)

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1386950103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7553 COUNTY ROAD 25",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813219151",
            "telephone_number": "970-310-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 UNIVERSITY AVE",
            "address_2": "SUITE C-201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033398",
            "telephone_number": "619-295-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Grace Anderson
• Jack Martin Anderson, M.D.
• Jai'Ciyah Anderson
• James Edward Anderson, PT
• Jana C. Anderson, BT
• Jenell Anderson
• Jensen Anderson
• Jessica Story Anderson
• Jill Emma Anderson, CRNA
• Joan Marie Anderson, CTRS, RTC, ACC

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.