Active NPI
Brian Cornell Anderson, M.D.
- Rheumatology Physician
- Chula Vista, CA
National Provider Identifier
1740298074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- G30998
- Practice address
- 525 3Rd Ave
Chula Vista, CA 91910-5616 - Phone
- (619) 585-4049
- Fax
- (619) 585-4015
- NPI assigned
- Aug 3, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | G30998 | CA | Primary |
Addresses
Primary practice location
525 3Rd Ave
Chula Vista, CA 91910-5616
Mailing address
525 3Rd Ave
Chula Vista, CA 91910-5616
Phone (619) 585-4049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G309980 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G30998 | CA | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371168000000",
"number": "1740298074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 3RD AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919105616",
"telephone_number": "619-585-4049",
"fax_number": "619-585-4015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 3RD AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919105616",
"telephone_number": "619-585-4049",
"fax_number": "619-585-4015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "BRIAN",
"middle_name": "CORNELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2013-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "G30998",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G309980",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.