Brad Charles Anderson

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

584 Kentucky Ave
Woodland, CA 95695-2779

Phone

(530) 758-4078

NPI assigned

Jan 16, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1508042920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 KENTUCKY AVE",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952779",
            "telephone_number": "530-758-4078",
            "fax_number": "530-758-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 KENTUCKY AVE",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952779",
            "telephone_number": "530-758-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BRAD",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reid Alton
• Sucheta Sarathy Amanjee, DDS
• Thomas Ambrosini, NP
• Osvaldo Amezcua, D.D.S.
• Carol Lynette Anderson-Pearson
• Doris C Anderson, LCSW
• Mark Kevin Anderson, D.D.S.
• Sheneeka Anderson, RN
• Christina Andrade-Lemus
• Jessie A Andrade, LVN

• All providers in Woodland, CA
• Day Training/Habilitation Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.