Individual provider Active NPI

Andrew P Horsley, M.D.

  • Anesthesiology Physician
  • Freedom, CA
National Provider Identifier
1417020942
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A73934 Issued in CA
Practice address
160 Green Valley Rd Ste 101
Freedom, CA 95019-3160
Phone
(209) 956-7732
Fax
(831) 763-9799
NPI assigned
Nov 15, 2006
Last updated
May 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A73934 CA Primary

Addresses

Primary practice location

160 Green Valley Rd Ste 101
Freedom, CA 95019-3160

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Other practice location 1

23625 Holman Hwy
Monterey, CA 93940-5902
Phone (209) 956-7732

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070518000333 CA Practitioner - Anesthesiology 0042317414 Reassigns benefits to 1 organization
Practice locations: Freedom, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73934CAMDClinical Social Worker
A73934CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ventana Anesthesia Associates Inc Anesthesiology CurrentSince Mar 5, 2014 Accepting new patients
Santa Cruz Medical Clinic, Inc Past Accepting new patients
San Jose Dental Surgery Center, Inc. Past Accepting new patients

Locations

160 Green Valley Rd
Ste 101
Freedom, CA 95019
Phone (831) 636-4915

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1417020942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 GREEN VALLEY RD STE 101",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950193160",
            "telephone_number": "209-956-7732",
            "fax_number": "831-763-9799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23625 Holman Hwy",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939405902",
            "country_code": "US",
            "telephone_number": "209-956-7732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORSLEY",
        "first_name": "ANDREW",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A73934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freedom, CA

Sources for this page

Verify at the official NPI Registry.