Andrew Swanson, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A51320 Issued in CA

Practice address

233 Marina Village Rd
Benicia, CA 95688-9134

Phone

(707) 372-8416

NPI assigned

Feb 26, 2014

Last updated

Jul 17, 2015By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Department of State Hospitals

  dba Coalinga State Hospital

  • Psychiatric Hospital
  • Coalinga, CA
  • NPI 1124078704
  NPD
• Department of State Hospitals

  dba Department of State Hospitals-Atascadero

  • Psychiatric Hospital
  • Atascadero, CA
  • NPI 1174573802
  NPD
• Department of State Hospitals

  dba Department of State Hospitals - Napa

  • Psychiatric Hospital
  • Napa, CA
  • NPI 1326098161
  NPD

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1417372525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 ENDBERG DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956889134",
            "telephone_number": "707-398-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MARINA VILLAGE RD",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "956889134",
            "telephone_number": "707-372-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-26",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A51320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417372525",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atauloma Sootaga
• Dale Sovak, D.P.M., C.PED
• Jamie Staton, DC
• Kristen Stedman, PHARM.D
• Jeevarathna Subramanian, MD
• Christopher Scott Swoboda, DDS
• Rischel Jo Tabiolo, OD
• June Tanaka, MD
• Heather Taylor, M.P.T.
• Silvia Teran, M.D.

• Psychiatry Physician in Benicia, CA
• Providers in Benicia, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.