Active NPI
Wayne E Anderson, DO
- Neurology Physician
- San Francisco, CA
National Provider Identifier
1679559421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 20A6596
- Practice address
- 45 Castro St
Suite 225
San Francisco, CA 94114-1010 - Phone
- (415) 558-8584
- Fax
- (415) 513-4521
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 20A6596 | CA | Primary |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | 20A6596 | CA |
Addresses
Primary practice location
45 Castro St
Suite 225
San Francisco, CA 94114-1010
Mailing address
45 Castro St
Suite 225
San Francisco, CA 94114-1010
Phone (415) 558-8584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A6596 | CA | MD | Neurology Physician |
| 6596 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Pacific Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1679559421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 CASTRO ST",
"address_2": "SUITE 225",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941141010",
"telephone_number": "415-558-8584",
"fax_number": "415-513-4521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 CASTRO ST",
"address_2": "SUITE 225",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941141010",
"telephone_number": "415-558-8584",
"fax_number": "415-513-4521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "WAYNE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "20A6596",
"primary": true
},
{
"code": "2084P2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "CA",
"license": "20A6596",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.