Individual provider Active NPI

Deborah A. Vanderbilt-Anderson, OT

  • Hand Occupational Therapist
  • San Ramon, CA
National Provider Identifier
1598732109
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT4869 Issued in CA
Practice address
12647 Alcosta Blvd Ste 100
San Ramon, CA 94583-4439
Phone
(259) 398-9585
Fax
(925) 933-2709
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT4869 CA
Hand Occupational Therapist 225XH1200X OT4869 CA Primary

Addresses

Primary practice location

12647 Alcosta Blvd Ste 100
San Ramon, CA 94583-4439

Mailing address

PO Box 31396
Walnut Creek, CA 94598-8396
Phone (925) 939-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050222000963 CA Practitioner - Occupational Therapist in Private Practice 1759334469 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Orthopedics & Spine CurrentSince Sep 1, 2022 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Sep 1, 2022 Accepting new patients
Golden State Orthopedics & Spine Current Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients

Locations

200 Porter Dr
Ste 215
San Ramon, CA 94583
Phone (925) 362-2166

200 Porter Dr
Ste 101
San Ramon, CA 94583
Phone (925) 838-1440

12647 Alcosta Blvd
Ste 100
San Ramon, CA 94583
Phone (259) 398-9585

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

Interoperability endpoints

  • Direct secure messaging: deborah.vanderbiltanderson.p1@direct.muirortho.nextgenshare.com
  • Direct secure messaging: deborah.vanderbiltanderson.p2@direct.muirortho.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1598732109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31396",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945988396",
            "telephone_number": "925-939-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12647 ALCOSTA BLVD STE 100",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834439",
            "telephone_number": "259-398-9585",
            "fax_number": "925-933-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERBILT-ANDERSON",
        "first_name": "DEBORAH",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT4869",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT4869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.