David H Anderson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C30531 Issued in CA

Practice address

1312 Prentice Drive
Healdsburg, CA 95448-3381

Phone

(707) 433-3383

Fax

(707) 433-7210

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• North Sonoma County Health Care District

  • Skilled Nursing Facility
  • Healdsburg, CA
  • NPI 1952487159
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1629005483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 PRENTICE DRIVE",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483381",
            "telephone_number": "707-433-3383",
            "fax_number": "707-433-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 PRENTICE DRIVE",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483381",
            "telephone_number": "707-433-3383",
            "fax_number": "707-433-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DAVID",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C30531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "00C305310",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerardo Amador, DDS
• Susan Helen Ament, RN MSN FNP
• Seth Ammerman, MD
• Amy M. Munselle, DDS, Inc
• Jeffrey R Andersen, O.D.
• Richard Joseph Andolsen, MD
• Anthony Soria OD Inc
• Loreen Atallah, PHARMD
• Attila Mady
• Austin Griffith, DDS Inc.

• Internal Medicine Physician in Healdsburg, CA
• Providers in Healdsburg, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.