Individual provider Active NPI

Steven C. Andersen, M.D.

  • Ophthalmology Physician
  • Fremont, CA
National Provider Identifier
1598781403
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G076308 Issued in CA
Practice address
38707 Stivers St
#B
Fremont, CA 94536-5337
Phone
(510) 794-0660
Fax
(510) 793-5044
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G076308 CA Primary

Addresses

Primary practice location

38707 Stivers St
#B
Fremont, CA 94536-5337

Mailing address

38707 Stivers St
#B
Fremont, CA 94536-5337
Phone (510) 794-0660

Other identifiers 1

IdentifierTypeStateIssuer
GR0046700MedicaidCA

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
I20081110000018 CA Practitioner - Ophthalmology 1254490055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Southern California Keck School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth C Low MD a Professional CorporationGroup PAC ID 4082668645, 2 clinicians

Practice addresses (Care Compare)

38707 Stivers St
Fremont, CA 94536-5337
Phone (510) 794-0660

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
98.85
Improvement activities
40
Cost
50.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G076308CAMDOphthalmology Physician
08365RLAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Township Hospital District Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sandersen13352@direct.whhs.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598781403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38707 STIVERS ST",
            "address_2": "#B",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365337",
            "telephone_number": "510-794-0660",
            "fax_number": "510-793-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38707 STIVERS ST",
            "address_2": "#B",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365337",
            "telephone_number": "510-794-0660",
            "fax_number": "510-793-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "STEVEN",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G076308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0046700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.