Active NPI
Justin Philip Anderson, M.D.
- Emergency Medicine Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A109334
- Practice address
- 1310 W Stewart Dr Ste 212
Orange, CA 92868-3837 - Phone
- (714) 543-8911
- Fax
- (714) 543-8914
- NPI assigned
- Jul 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A109334 | CA | Primary |
Addresses
Primary practice location
1310 W Stewart Dr Ste 212
Orange, CA 92868-3837
Mailing address
1310 W Stewart Dr Ste 212
Orange, CA 92868-3837
Phone (714) 543-8911
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of California, San Diego School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 W Stewart Dr
Orange, CA 92868-3849
Phone (714) 633-9111
Hospital & facility affiliations
- Providence St. Joseph Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A109334 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Specialists of Orange County | Emergency Medicine | Current | Accepting new patients |
| James E. Pierog, MD, Inc. | Past | Accepting new patients |
Locations
1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620
1310 W Stewart Dr
Ste 212
Orange, CA 92868
Phone (714) 543-8911
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Orange, CA
- NPI 1740214733
-
- Urgent Care Clinic/Center
- Orange, CA
- NPI 1134432453
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
- General Acute Care Hospital
- Orange, CA
- NPI 1558575746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1659534121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 W STEWART DR STE 212",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683837",
"telephone_number": "714-543-8911",
"fax_number": "714-543-8914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 W STEWART DR STE 212",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683837",
"telephone_number": "714-543-8911",
"fax_number": "714-543-8914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JUSTIN",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-05",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A109334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.