Active NPI
Clayton Allen Andersen, D.C.
- Chiropractor
- Bakersfield, CA
National Provider Identifier
1477629970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC11545
- Practice address
- 9408 Steinbeck Lane
Bakersfield, CA 93311 - Phone
- (661) 663-7140
- Fax
- (661) 663-7362
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC11545 | CA | Primary |
| Chiropractor | 111N00000X | CHIA919 | ID |
Addresses
Primary practice location
9408 Steinbeck Lane
Bakersfield, CA 93311
Mailing address
9408 Steinbeck Lane
Bakersfield, CA 93311
Phone (661) 663-7140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC11545 | CA | MD | Chiropractor |
| CHIA919 | ID | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Health & Wellness | Past | Accepting new patients | |
| Allied Healthcare, LLC | Past | Accepting new patients | |
| Andrew L McCall DPM PA | Past | Accepting new patients | |
| Schall Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/10132/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Tehachapi, CA
- NPI 1710146626
-
- Chiropractor
- Tehachapi, CA
- NPI 1508969171
-
- Specialist
- Idaho Falls, ID
- NPI 1841220910
-
- Podiatrist
- Idaho Falls, ID
- NPI 1134342256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477629970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9408 STEINBECK LANE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93311",
"telephone_number": "661-663-7140",
"fax_number": "661-663-7362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9408 STEINBECK LANE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93311",
"telephone_number": "661-663-7140",
"fax_number": "661-663-7362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSEN",
"first_name": "CLAYTON",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC11545",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA919",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.