Dolly Anderson
Individual provider Active NPI Health & Wellness Coach · Ceres, CA
NPI 1730060468 · NPPES record last updated Sep 9, 2025
Key facts
- NPI
- 1730060468
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- License
- 1DDB3922A2 (CA)
- Practice address
- 2503 Lawrence St
Ceres, CA 95307-3301 - Phone
- (209) 556-1500
- NPI assigned
- Sep 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1DDB3922A2 | CA | MD | Health & Wellness Coach |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | 1DDB3922A2 | CA | Yes |
Addresses
Primary practice location
2503 Lawrence St
Ceres, CA 95307-3301
Mailing address
2503 Lawrence St
Ceres, CA 95307-3301
Other providers in Ceres, CA
- Hannah Amador
- Sarina Amaral
- Jason Andaya
- Gayle Elizabeth Andersen
- Chantenique Anderson
- Lesly Andrade
- Emma Antonio
- Apolinar Madrigal DDS PC
- Carolyn Appeal
- Apria Healthcare LLC
All providers in Ceres, CA · Health & Wellness Coach in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.