ANASTASIA MARIE ANDERSON PA-C NPI 1275574709

NPI Information

NPI: 1275574709
Provider Name: ANASTASIA MARIE ANDERSON, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
2888 LONG BEACH BLVD
SUITE 240
LONG BEACH, CA
ZIP 90806
Phone: (562) 595-7696
Get Directions

Anastasia Marie Anderson, PA-C is a surgical physician assistant in Long Beach, CA. Anastasia Marie Anderson, PA-C NPI is 1275574709. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2888 LONG BEACH BLVD
SUITE 240
LONG BEACH, CA
ZIP 90806-530
Phone: (562) 595-7696
Fax: (562) 490-3846

The enumeration date for this NPI number is 6/8/2006 and was last updated on 4/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA17941	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00G99710	MEDICAID	CALIFORNIA
2	W19727	OTHER	CALIFORNIA	GROUP ID
3	WPA17941A	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	PPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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