Individual provider Active NPI

David Anthony Anzaldua, M.D.

  • Family Medicine Physician
  • Santa Clara, CA
National Provider Identifier
1699822346
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G84873 Issued in CA
Practice address
4949 Stevens Creek Blvd
Santa Clara, CA 95051-6661
Phone
(831) 917-4504
NPI assigned
Jan 4, 2007
Last updated
May 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G84873 CA Primary

Addresses

Primary practice location

4949 Stevens Creek Blvd
Santa Clara, CA 95051-6661

Mailing address

4949 Stevens Creek Blvd
Santa Clara, CA 95051-6661
Phone (831) 917-4504

Other identifiers 1

IdentifierTypeStateIssuer
201061639OtherCAFEDERAL TAX I.D.

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130814000467 CA Practitioner - Family Practice 2264334556 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tubi Connect IncGroup PAC ID 3971933318, 2 clinicians

Practice addresses (Care Compare)

8950 Villa la Jolla Dr
Suite C117
La Jolla, CA 92037-1707
Phone (858) 997-7515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
84873CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Verity Medical Foundation CurrentSince Apr 17, 2017 Accepting new patients
Tubi Connect Inc. CurrentSince Feb 1, 2021 Accepting new patients
County of Santa Clara Current Accepting new patients
DCHS Medical Foundation Family Medicine CurrentSince Apr 17, 2017 Accepting new patients
Taproot Network Inc. CurrentSince Sep 1, 2022 Accepting new patients
County of Santa Clara CurrentSince Sep 1, 2015 Accepting new patients
County of Santa Clara CurrentSince Sep 1, 2015 Accepting new patients
Instant Urgent Care Family Medicine CurrentSince Feb 3, 2020 Accepting new patients
Pacific Grove Family Medicine, Inc. Family Medicine PastSince Nov 20, 2012 Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

2400 Barranca Pkwy
#1801
Irvine, CA 92606
Phone (858) 997-0235

8950 Villa La Jolla Dr
Ste C117
La Jolla, CA 92037
Phone (858) 997-7415

25455 Medical Center Dr
Ste 200
Murrieta, CA 92562
Phone (951) 894-7056

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

976 Lenzen Ave
San Jose, CA 95126
Phone (408) 299-5846

4949 Stevens Creek Blvd
Santa Clara, CA 95051
Phone (408) 260-2273

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1699822346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 STEVENS CREEK BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516661",
            "telephone_number": "831-917-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 STEVENS CREEK BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516661",
            "telephone_number": "831-917-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANZALDUA",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G84873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX I.D.",
            "identifier": "201061639",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.