Individual provider Active NPI

Andrew Freeland Archer

  • Psychiatry Physician
  • Daly City, CA
National Provider Identifier
1447670245
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A156287 Issued in CA
Practice address
1900 Sullivan Ave
Daly City, CA 94015-2200
Phone
(650) 992-4000
NPI assigned
Apr 18, 2014
Last updated
Dec 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NM
Student in an Organized Health Care Education/Training Program 390200000X RS2014-0451 NM
Psychiatry Physician 2084P0800X A156287 CA Primary

Addresses

Primary practice location

1900 Sullivan Ave
Daly City, CA 94015-2200

Mailing address

1580 1St St
Napa, CA 94559-2841
Phone (707) 258-8757

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
I20190529002509 CA Practitioner - Psychiatry 2466672811 Reassigns benefits to 2 organizations
Practice locations: San Francisco, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A156287CAMDPsychiatry Physician
RS2014-0451NMMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Archer Medical Corporation Psychiatry Current Accepting new patients
Traditions Psychiatry Group, P.C Psychiatry CurrentSince Apr 22, 2019 Accepting new patients
County of Butte CurrentSince Apr 1, 2021 Accepting new patients
County of Butte CurrentSince Apr 1, 2021 Accepting new patients
County of Butte Current Accepting new patients

Locations

560 Cohasset Rd
Ste 175
Chico, CA 95926
Phone (530) 552-5076

3217 Cohasset Rd
Cohasset, CA 95973
Phone (530) 552-4578

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

995 Spruce St
Gridley, CA 95948
Phone (530) 846-7305

1580 1st St
Napa, CA 94559
Phone (707) 200-8225

1287 Fulton Rd
Santa Rosa, CA 95401
Phone (707) 543-2031

Organizations & group practices 5

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": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1447670245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 1ST ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945592841",
            "telephone_number": "707-258-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SULLIVAN AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152200",
            "telephone_number": "650-992-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "ANDREW",
        "middle_name": "FREELAND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-18",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": "RS2014-0451",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A156287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.