Claire Elizabeth Andersen, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A125942 Issued in CA

Practice address

13010 Poway Road
Poway, CA 92064-4520

Phone

(858) 218-3000

Fax

(858) 633-4688

NPI assigned

May 18, 2010

Last updated

May 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Czlaire Andersen Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Neighborhood Healthcare

  dba Neighborhood Healthcare - Escondido

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1598703647
  Medicare reassignment
• Children's Center

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1275566069
  NPD (past)

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1831418664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13010 POWAY ROAD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644520",
            "telephone_number": "858-218-3000",
            "fax_number": "858-633-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 POWAY ROAD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644520",
            "telephone_number": "858-218-3000",
            "fax_number": "858-633-4688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 S 400 E",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841112905",
            "country_code": "US",
            "telephone_number": "801-582-5534",
            "fax_number": "801-582-5540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "CLAIRE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "9610282-1205",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "ML 60165499",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A125942",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "UT",
            "license": "9610282-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CZLAIRE",
            "last_name": "ANDERSEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gloria Ambriz
• Michael Ammar, MD
• Sandhya Anand
• Kimberly Ancheta
• Kristel Aprille Andal
• Jackie Anderson
• Kathy Anderson, LMFT
• Monica Andrawes, PHARMD
• Sandra Colleen Angell, PTA
• Jennifer Marie Antoine, DACM, L.AC

• Psychiatry Physician in Poway, CA
• Providers in Poway, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.