Individual provider Active NPI

James Anderson, NP

  • Acute Care Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1992080915
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
330854-4405 Issued in UT
Practice address
77 Cadillac Dr
Suite Number 210
Sacramento, CA 95825-5453
Phone
(916) 325-1040
NPI assigned
Oct 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 330854-4405 UT Primary

Addresses

Primary practice location

77 Cadillac Dr
Suite Number 210
Sacramento, CA 95825-5453

Mailing address

1525 Knight CT
Dixon, CA 95620-4267
Phone (707) 693-6850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150818003529 UT Practitioner - Nurse Practitioner 9739355595 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Regional Hospitalists LLCGroup PAC ID 4789807165, 119 clinicians
Santibanez Pac UtahGroup PAC ID 1355785437, 19 clinicians

Practice addresses (Care Compare)

1200 E 3900
Salt Lake City, UT 84124-1300
Phone (801) 783-5011

350 S 400
Bountiful, UT 84010-4932
Phone (385) 399-7800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santibanez Pac Utah Nurse Practitioner CurrentSince Jan 1, 2024 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Jul 13, 2015 Accepting new patients
Post Acute Medical PLLC Internal Medicine CurrentSince May 15, 2025 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Jul 13, 2015 Accepting new patients
Pulmonary Medicine Associates Medical Group, Inc Past Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

350 S 400 E
Bountiful, UT 84010
Phone (385) 399-7800

5505 S 900 E
Ste 240
Murray, UT 84117
Phone (801) 406-9601

1992 S Columbia Ln
Orem, UT 84097
Phone (801) 724-6500

2730 E 3300 S
Salt Lake Cty, UT 84109
Phone (801) 487-0896

8074 S 1300 E
Sandy, UT 84094
Phone (801) 561-3400

1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111

1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111

5825 Harrison Blvd
South Ogden, UT 84403
Phone (801) 475-5254

451 E Bishop Federal Ln
South Salt Lake, UT 84115
Phone (801) 487-7557

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1992080915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 KNIGHT CT",
            "city": "DIXON",
            "state": "CA",
            "postal_code": "956204267",
            "telephone_number": "707-693-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CADILLAC DR",
            "address_2": "SUITE NUMBER 210",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255453",
            "telephone_number": "916-325-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JAMES",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-21",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "330854-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.