Active NPI
Anise R Adams, MD
- Family Medicine Physician
- Stockon, CA
National Provider Identifier
1922033497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A91840
- Practice address
- 7707 S Austin Rd
Atten: Medical
Stockon, CA 95215 - Phone
- (209) 467-2536
- Fax
- (818) 295-6965
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A91840 | CA | Primary |
Addresses
Primary practice location
7707 S Austin Rd
Atten: Medical
Stockon, CA 95215
Mailing address
7707 S Austin Rd
Atten: Medical
Stockon, CA 95215
Phone (209) 467-2536
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A91840 | Other | CA | STATE MEDICAL LICENSE NUM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Medical Associates, a Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
| Lakeside Medical Organization, a Medical Group Inc. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Glendale, CA
- NPI 1932129434
Family Medicine
-
- Internal Medicine Physician
- West Hills, CA
- NPI 1831426642
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1922033497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7707 S AUSTIN RD",
"address_2": "ATTEN: MEDICAL",
"city": "STOCKON",
"state": "CA",
"postal_code": "95215",
"telephone_number": "209-467-2536",
"fax_number": "818-242-8761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7707 S AUSTIN RD",
"address_2": "ATTEN: MEDICAL",
"city": "STOCKON",
"state": "CA",
"postal_code": "95215",
"telephone_number": "209-467-2536",
"fax_number": "818-295-6965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "ANISE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A91840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE NUM",
"identifier": "A91840",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.