Active NPI
Jeffery Anderson M.D.
- Anesthesiology Physician
- Folsom, CA
National Provider Identifier
1861552689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G58154
- Legal business name
- JEFFERY ANDERSON M.D.
- Practice address
- 291 Water View Way
Folsom, CA 95630-5041 - Phone
- (916) 983-1625
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Anderson, M.D.
- Title
- Ceo
- Phone
- (916) 983-1625
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G58154 | CA | Primary |
Addresses
Primary practice location
291 Water View Way
Folsom, CA 95630-5041
Mailing address
PO Box 34120
Reno, NV 89533-4120
Phone (775) 747-5050
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861552689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34120",
"city": "RENO",
"state": "NV",
"postal_code": "895334120",
"telephone_number": "775-747-5050",
"fax_number": "775-747-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 WATER VIEW WAY",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956305041",
"telephone_number": "916-983-1625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFERY ANDERSON M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "916-983-1625",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "G58154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.