Active NPI
Charles Kent Anderson, MD
- Anesthesiology Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G128352
- Practice address
- 11234 Anderson St RM 2532
Loma Linda, CA 92354-2804 - Phone
- (909) 558-4475
- Fax
- (909) 558-4143
- NPI assigned
- Jun 8, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD60854517 | WA | |
| Anesthesiology Physician | 207L00000X | G128352 | CA | Primary |
| Anesthesiology Physician | 207L00000X | MD14731 | OR |
Addresses
Primary practice location
11234 Anderson St RM 2532
Loma Linda, CA 92354-2804
Mailing address
11234 Anderson St RM 2532
Loma Linda, CA 92354-2804
Phone (909) 558-4475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177709 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, CA, WA, VI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of North Dakota School of Medicine, 1982
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Cep America - Anesthesia PC
Practice addresses (Care Compare)
225 N Jackson Ave
San Jose, CA 95116-1603
Phone (408) 347-4099
2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 673-0611
9048 Sugar Est
St Thomas, VI 00802-3634
Phone (340) 776-8311
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G128352 | CA | MD | Anesthesiology Physician |
| MD14731 | OR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grays Harbor Surgeons | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Cep America - Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| Palm Springs Anesthesia Services, PC | Anesthesiology | Past | Accepting new patients |
| Physicians' Hospital of Murrieta, LLC | Past | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients | |
| Bend Anesthesiology Group, PC | Anesthesiology | Past | Accepting new patients |
| Loma Linda University Children'S Hospital | Past | Accepting new patients |
Locations
11234 Anderson St
Rm 2532
Loma Linda, CA 92350
Phone (909) 558-4475
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224
2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611
915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330
Interoperability endpoints
- canderson234962@santaclaravalley.direct-ci.net
Organizations & group practices 17
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.
-
- General Acute Care Hospital
- St Thomas, VI
- NPI 1487699047
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Anesthesiology Physician
- Roseburg, OR
- NPI 1235842196
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
-
- Anesthesiology Physician
- San Jose, CA
- NPI 1598214108
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
Anesthesiology
-
- Obstetrics & Gynecology Physician
- Rancho Cucamonga, CA
- NPI 1568113827
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Clinic/Center
- Westport, WA
- NPI 1497510333
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1881735462
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1699716282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST RM 2532",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542804",
"telephone_number": "909-558-4475",
"fax_number": "909-558-4143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST RM 2532",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542804",
"telephone_number": "909-558-4475",
"fax_number": "909-558-4143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CHARLES",
"middle_name": "KENT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD60854517",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G128352",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "MD14731",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177709",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.