Individual provider Active NPI

Charles Kent Anderson, MD

  • Anesthesiology Physician
  • Loma Linda, CA
National Provider Identifier
1699716282
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G128352 Issued in CA
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

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
177709MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA, WA, VI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20101122000561 OR Practitioner - Anesthesiology 4880880467 Reassigns benefits to 1 organization
I20150904002383 CA Practitioner - Anesthesiology 4880880467 Reassigns benefits to 2 organizations
I20250508002067 WA Practitioner - Anesthesiology 4880880467 Reassigns benefits to 1 organization
I20260521000265 VI Practitioner - Anesthesiology 4880880467 Reassigns benefits to 1 organization

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 PCGroup PAC ID 3678897915, shared by 7 NPIs, 849 clinicians
VI Government Hospital and Health Facilities CorpGroup PAC ID 6204722879, 36 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
G128352CAMDAnesthesiology Physician
MD14731ORMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grays Harbor Surgeons CurrentSince Mar 31, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Aug 16, 2024 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jul 14, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jul 14, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm Anesthesiology CurrentSince Aug 16, 2024 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Dec 9, 2025 Accepting new patients
Grays Harbor Community Hospital CurrentSince Mar 31, 2025 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

  • Direct secure messaging: 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.

View all 17

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

Verify at the official NPI Registry.