Active NPI
Damon Anderson, P.T.
- Specialist
- Monterey, CA
National Provider Identifier
1689736480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT11606
- Practice address
- 980 Cass St
#A
Monterey, CA 93940-4548 - Phone
- (831) 375-1131
- Fax
- (831) 375-1520
- NPI assigned
- Dec 15, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | PT11606 | CA | Primary |
Addresses
Primary practice location
980 Cass St
#A
Monterey, CA 93940-4548
Mailing address
24885 Outlook Dr
Carmel, CA 93923-8934
Phone (831) 375-1135
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11606 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 116060 | CA | MD | Clinical Social Worker |
| PT11606 | CA | MD | Specialist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Damon Anderson & Associates Inc
- Physical Therapist
- Monterey, CA
- NPI 1922111038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689736480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24885 OUTLOOK DR",
"city": "CARMEL",
"state": "CA",
"postal_code": "939238934",
"telephone_number": "831-375-1135",
"fax_number": "831-375-1520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 CASS ST",
"address_2": "#A",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939404548",
"telephone_number": "831-375-1131",
"fax_number": "831-375-1520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "DAMON",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "PT11606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monterey, CA
- Ambience Enterprises
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- Ameet K. Grewal MD, Inc (Monterey Ear, Nose & Throat)
- Ameliorate Management Service (Alleviate Health Group)
- Vanessa Anaya, PA-C
- Hannah Pauline Anderson
- Sabrina Andrade
- Andrew Suth PHD and Associates Psychological Corporation
- Andrey Rychkov, MD, Inc
- Kirsten Marie Anke, RN, BSN, MPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.