Ivan Anderson, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Auburn, CA
NPI 1891960076 · NPPES record last updated May 31, 2019
Key facts
- NPI
- 1891960076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- A110448 (CA)
- Practice address
- 3288 Bell Rd
Auburn, CA 95603 - Phone
- (530) 745-0700
- Fax
- (530) 745-0701
- NPI assigned
- Apr 28, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 29
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Nevada School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sutter Valley Medical Foundation
Practice addresses (Care Compare)
1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868
100 Mission Blvd
Jackson, CA 95642-2536
2 Medical Plaza Dr
Roseville, CA 95661-3042
2575 E Bidwell St
Suite 100
Folsom, CA 95630-6445
Phone (916) 817-3710
2702 Low CT
Fairfield, CA 94534-9771
Phone (707) 432-2600
2720 Low CT
Fairfield, CA 94534-9771
Phone (707) 428-2731
2800 L St
Sacramento, CA 95816-5616
2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600
3 Medical Plaza Dr
Roseville, CA 95661-3088
3161 L St
Sacramento, CA 95816-5234
Phone (916) 453-9999
3288 Bell Rd
Auburn, CA 95603-9243
Phone (530) 886-2300
3320 Bell Rd
Auburn, CA 95603-9243
Phone (530) 888-1266
5765 Greenback LN
Sacramento, CA 95841-2013
Phone (916) 865-1040
685 Twelve Bridges Dr
Lincoln, CA 95648-8689
Hospital & facility affiliations
- Sutter Roseville Medical Center
- Sutter Auburn Faith Hospital
- Sutter Medical Center, Sacramento
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110720000138 | CA | Practitioner - Cardiovascular Disease (Cardiology) |
1759559628 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A110448 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current |
Accepting new patients | |
| Sutter Valley Medical Foundation | Current |
Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients | |
| Renown Regional Medical Center | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Locations
3288 Bell Rd
Auburn, CA 95603
Phone (530) 886-2300
685 Twelve Bridges Dr
Ste B
Lincoln, CA 95648
Phone (916) 408-5915
2 Medical Plaza Dr
Ste 130
Roseville, CA 95661
Phone (916) 782-7778
3 Medical Plaza Dr
Ste 140
Roseville, CA 95661
Phone (916) 781-1927
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
5765 Greenback Ln
Sacramento, CA 95841
Phone (916) 865-1040
10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827
2750 Gateway Oaks Dr
Ste 150
Sacramento, CA 95833
Phone (916) 887-7398
Interoperability endpoints
- ianderson293400@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 15988 | NV | |
| Cardiovascular Disease Physician | 207RC0000X | A110448 | CA | Yes |
Addresses
Primary practice location
3288 Bell Rd
Auburn, CA 95603
Mailing address
10470 Old Placerville Rd Ste 100
Sacramento, CA 95827-2539
Phone (800) 470-0071
Other practice location 1
1500 E 2nd St Ste 400
Reno, NV 89502-1198
Phone (775) 982-2400
Other practice location 2
1500 E 2nd St Ste 400
Reno, NV 89502-1198
Phone (775) 982-2400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13566641 | Other | CAQH | |
| 1891960076 | Medicaid | NV |
Other providers in Auburn, CA
- Amor Care
- Claire Amos
- Anchor Orthotics & Prosthetics, Inc
- Anchor Orthotics & Prosthetics, Inc.
- Elizabeth A Anderson
- Taylor Anderson
- Maria Emma Andino
- Yazmin Andresen
- Justin Gabriel Mejia Angeles
- Amanda J Anguish
All providers in Auburn, CA · Cardiovascular Disease Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.