Hans Johannes Anderson, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G25842 Issued in CA

Practice address

4130 La Jolla Village Dr
Ste 306
La Jolla, CA 92037-1481

Phone

(858) 455-6460

NPI assigned

Nov 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1902880396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 LA JOLLA VILLAGE DR",
            "address_2": "STE 306",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371481",
            "telephone_number": "858-455-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 LA JOLLA VILLAGE DR",
            "address_2": "STE 306",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371481",
            "telephone_number": "858-455-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "HANS",
        "middle_name": "JOHANNES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G25842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristoffer Allan Ancho, PMHNP-BC
• Johndel Andaya
• Brian Mark Anderson
• Cynthia Lea Anderson, CPNP
• Danica Anderson, PA-C
• Jacqueline Martinico Anderson, MD
• Kierstin Nicole Anderson
• Leslie Karwoski Anderson, PHD
• Sarah Nicole Anderson, M.S., NP-C
• Tara Shea Andreasen, M.S.

• Specialist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.