Andrea Anderson, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A90631 Issued in CA

Practice address

2083 Compton Ave Ste 105
Corona, CA 92881-7288

Phone

(951) 268-8112

Fax

(951) 493-1919

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

General PracticeAlso: General Surgery, Hospice/Palliative Care

Education

University of California, Geffen School of Medicine, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Andrea D. Anderson, MD., Inc.

  • Surgery Physician
  • Corona, CA
  • NPI 1205667623
  NPD Authorized official
• Andrea D. Anderson, MD., Inc.

  • Surgery Physician
  • Corona, CA
  • NPI 1508139676
  NPD Authorized official
• Desert Medical Group, Inc.

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1114918612
  NPD
• Riverside Primary Care Doctors-Inc

  • Adult Medicine Physician
  • Riverside, CA
  • NPI 1831812072
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1649498015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6146",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928786146",
            "telephone_number": "951-268-8120",
            "fax_number": "951-493-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2083 COMPTON AVE STE 105",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817288",
            "telephone_number": "951-268-8112",
            "fax_number": "951-493-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5750 Division St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925063259",
            "country_code": "US",
            "telephone_number": "951-268-8113",
            "fax_number": "951-493-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A90631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merray Anciso
• Nader Andari
• Ethan Michael Andaya
• Abigail Lynn Anderson
• Alton Glenn Anderson, DDS
• Deyla Anderson, CAODC
• James L Anderson, LMFT
• Melodie Anderson
• Sharaya Anderson
• Stuart Churchill Anderson, DDS

• Surgery Physician in Corona, CA
• Providers in Corona, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.