Individual provider Active NPI

Michael McAndrew, MD

  • Psychiatry Physician
  • Citrus Heights, CA
National Provider Identifier
1457462798
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G64056 Issued in CA
Practice address
7625 Sunrise Blvd
Suite 102
Citrus Heights, CA 95610-2364
Phone
(916) 725-1515
Fax
(916) 725-1525
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G64056 CA Primary

Addresses

Primary practice location

7625 Sunrise Blvd
Suite 102
Citrus Heights, CA 95610-2364

Mailing address

7625 Sunrise Blvd
Suite 102
Citrus Heights, CA 95610-2364
Phone (916) 725-1515

Other names 1

  • Dr. William McAndrew Other name

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
I20151006002634 CA Practitioner - Psychiatry 9436467701 Practice locations: Roseville, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Maryland School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Harding Blvd
Suite 118
Roseville, CA 95678-2472
Phone (916) 742-5236

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64056CAMDGeneral Practice Dentistry
G64056CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1457462798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 SUNRISE BLVD",
            "address_2": "SUITE 102",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956102364",
            "telephone_number": "916-725-1515",
            "fax_number": "916-725-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 SUNRISE BLVD",
            "address_2": "SUITE 102",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956102364",
            "telephone_number": "916-725-1515",
            "fax_number": "916-725-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANDREW",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G64056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "MCANDREW",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Citrus Heights, CA

Sources for this page

Verify at the official NPI Registry.