Individual provider Active NPI

Anya Elizabeth Bandt, M.D.

  • Dermatology Physician
  • Medford, OR
National Provider Identifier
1750401998
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A65186 Issued in CA
Practice address
2924 Siskiyou Blvd Ste 200
Medford, OR 97504-6462
Phone
(541) 200-2777
Fax
(541) 214-2575
NPI assigned
Mar 30, 2007
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD231168 OR
Dermatology Physician 207N00000X A65186 CA Primary
MOHS-Micrographic Surgery Physician 207ND0101X MD231168 OR
MOHS-Micrographic Surgery Physician 207ND0101X A65186 CA
Procedural Dermatology Physician 207NS0135X A65186 CA

Addresses

Primary practice location

2924 Siskiyou Blvd Ste 200
Medford, OR 97504-6462

Mailing address

1310 Commerce St Ste B
Petaluma, CA 94954-1469
Phone (707) 778-7862

Other names 1

  • Anya E Landeck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090602000121 CA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 7719035427 Reassigns benefits to 1 organization
I20250918003382 NV Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 7719035427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Texas Southwestern Medical School at Dallas, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

640 W Moana LN
Reno, NV 89509-4903
Phone (775) 324-0699

6880 Palm Ave
Sebastopol, CA 95472-4270
Phone (707) 823-7628

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.82 of 100Reported as group
Quality
96.29
Improvement activities
40
Cost
54.36

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
Quality
94
Promoting interoperability
92
Improvement activities
40
Cost
65.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision141
Removal of tissue1-10
Removal of skin lesions790
Removal of skin cancer440
Removal or shaving of skin growth1-10
Skin biopsy250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD231168ORMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Cancer and Dermatology Institute Mohs-Micrographic Surgery Current Accepting new patients
Eye Associates of Sebastopol Medical Group Inc CurrentSince Apr 4, 2023 Accepting new patients
Mountain West Derm-Blackhart, PLLC Dermatology CurrentSince Nov 1, 2025 Accepting new patients
Clinic for Dermatology & Wellness LLC CurrentSince Jun 23, 2026 Accepting new patients
Eye Associates of Sebastopol Medical Group CurrentSince Apr 4, 2023 Accepting new patients
Mountain West Derm - Blackhart PLLC Mohs-Micrographic Surgery CurrentSince Nov 1, 2025 Accepting new patients
Marin Dermatology Associates Dermatology CurrentSince Jul 7, 2009 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Marin General Hospital Past Accepting new patients
Mountain West Derm - Blackhart PLLC Dermatology Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

110 W American Canyon Rd
Ste L4
American Canyon, CA 94503
Phone (707) 317-4070

14709 Lakeshore Dr
Clearlake, CA 95422
Phone (707) 994-8644

1310 Commerce St
Ste B
Petaluma, CA 94954

1099 D St
Ste 204
San Rafael, CA 94901
Phone (415) 259-0131

1660 2nd St
San Rafael, CA 94901
Phone (415) 259-0131

6880 Palm Ave
Sebastopol, CA 95472
Phone (707) 769-1074

3950 Gs Richards Blvd
Carson City, NV 89703
Phone (775) 283-4080

1825 Pinion Rd
Ste F
Elko, NV 89801
Phone (775) 299-4778

607 S Maine St
Fallon, NV 89406
Phone (775) 428-1007

3640 Warren Way
#200
Reno, NV 89509

3640 Warren Way
Ste 100
Reno, NV 89509

5419 Reno Corporate Dr
Reno, NV 89511

640 W Moana Ln
Reno, NV 89509
Phone (775) 882-8777

9672 S McCarran Blvd
Reno, NV 89523

4814 Sparks Blvd
Sparks, NV 89436
Phone (753) 240-6997

2924 Siskiyou Blvd
Ste 200
Medford, OR 97504
Phone (541) 200-2777

2937 Siskiyou Blvd
Ste 1
Medford, OR 97504
Phone (541) 200-2777

Interoperability endpoints

  • Direct secure messaging: abandt@csinorthca.emadirect.md
  • Direct secure messaging: abandt@directaddress.net
  • Direct secure messaging: abandt@eas.emadirect.md

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1750401998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 COMMERCE ST STE B",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949541469",
            "telephone_number": "707-778-7862",
            "fax_number": "707-778-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 SISKIYOU BLVD STE 200",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046462",
            "telephone_number": "541-200-2777",
            "fax_number": "541-214-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDT",
        "first_name": "ANYA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD231168",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A65186",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OR",
            "license": "MD231168",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A65186",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A65186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANYA",
            "last_name": "LANDECK",
            "middle_name": "E",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.