Organization Active NPI

Albert Anderson Medical Corporation

  • Family Medicine Physician
  • Palm Springs, CA
National Provider Identifier
1700083771
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A56013 Issued in CA
Legal business name
ALBERT ANDERSON MEDICAL CORPORATION
Practice address
552 S Paseo Dorotea
Suite 2
Palm Springs, CA 92264-1437
Phone
(760) 320-6988
Fax
(760) 320-9796
NPI assigned
Jul 2, 2007
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Albert R Anderson III, MDNPI 1013002435
Title
Owner
Phone
(760) 462-6880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A56013 CA Primary

Addresses

Primary practice location

552 S Paseo Dorotea
Suite 2
Palm Springs, CA 92264-1437

Mailing address

552 S Paseo Dorotea Ste 2
Palm Springs, CA 92264-1437
Phone (760) 320-6988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071205000175 CA Part B Supplier - Clinic/Group Practice 2567551179 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Springs, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2128931Albert Anderson Medical Corporation552 S Paseo Dorotea 2, Palm Springs, CA 92264Certificate of waiverApr 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Albert Anderson Med Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

552 S Paseo Dorotea
Palm Springs, CA 92264
Phone (760) 320-6988

552 S Paseo Dorotea
Ste 2
Palm Springs, CA 92264
Phone (760) 320-6988

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1700083771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 S PASEO DOROTEA STE 2",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641437",
            "telephone_number": "760-320-6988",
            "fax_number": "760-320-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 S PASEO DOROTEA",
            "address_2": "SUITE 2",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641437",
            "telephone_number": "760-320-6988",
            "fax_number": "760-320-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT ANDERSON MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-462-6880",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A56013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.