NPIMap

Individual provider Active NPI

David C Anderson II, PA-C

  • Physician Assistant
  • Atascadero, CA
National Provider Identifier
1649303165
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 15684 Issued in CA
Practice address
8340 Morro Rd
Atascadero, CA 93422-3927
Phone
(805) 460-6333
Fax
(805) 468-4495
NPI assigned
Mar 13, 2007
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 15684 CA Primary

Addresses

Primary practice location

8340 Morro Rd
Atascadero, CA 93422-3927

Mailing address

8340 Morro Rd
Atascadero, CA 93422-3927
Phone (805) 460-6333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080402000446 CA Practitioner - Physician Assistant 0244317139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Physician Assistant Group PCGroup PAC ID 0042668741, 2 clinicians

Practice addresses (Care Compare)

8340 Morro Rd
Atascadero, CA 93422-3927
Phone (805) 460-6333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61.04 of 100Reported as individual
Quality
40.49
Improvement activities
40
Cost
49.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 15684CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Dignity Community Care Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1649303165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 MORRO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934223927",
            "telephone_number": "805-460-6333",
            "fax_number": "805-468-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 MORRO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934223927",
            "telephone_number": "805-460-6333",
            "fax_number": "805-468-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 15684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

Verify at the official NPI Registry.