Andre Van Mol MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G62379 Issued in CA

Legal business name

ANDRE VAN MOL MD

Practice address

3580 Santa Rosa Way
Redding, CA 96003

Phone

(530) 222-3225

Fax

(530) 222-1219

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andre Van Mol, MD

Title

Owner

Phone

(530) 222-3225

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1881753382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 SANTA ROSA WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96003",
            "telephone_number": "530-222-3225",
            "fax_number": "530-222-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 SANTA ROSA WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96003",
            "telephone_number": "530-222-3225",
            "fax_number": "530-222-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRE VAN MOL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "VAN MOL",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-222-3225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G62379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "G62379",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Yvonne Woolf Anderson, PHYSICAL THERAPIST
• Rebecca Ann Anderson
• Scott Lee Anderson, PA
• Thernell Rothchild Anderson IV, PHARMD, RPH
• Allyza Andrade, RN
• Andrek J Ingersoll Dental Corporation
• Andrek Pmendo Ingersoll Dental Corporation
• Andrek Redortho Ingersoll Dental Corporation
• Joanna Andres, OTR
• Christina Andresen

• Primary Care Clinic/Center in Redding, CA
• Providers in Redding, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.