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DR. PAULINE MARIE ANDERSON D.C. CCSP I.D.E NPI 1396763470


NPI Information

NPI: 1396763470
Provider Name: DR. PAULINE MARIE ANDERSON, D.C., CCSP, I.D.E
Classification: Chiropractor - 111NS0005X
Entity Type: Individual

Specialization: Sports Physician

Address:
125 E. SUNNYOAKS AVE
STE 213
CAMPBELL, CA
ZIP 95008
Phone: (408) 558-7998
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DR. Pauline Marie Anderson, D.C., CCSP, I.D.E is a sports physician chiropractor in Campbell, CA with 34 years of experience. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. DR. Pauline Marie Anderson, D.C., CCSP, I.D.E NPI is 1396763470. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Graduation Year:1990

The provider's business location address is:

125 E. SUNNYOAKS AVE
STE 213
CAMPBELL, CA
ZIP 95008-639
Phone: (408) 558-7998
Fax: (408) 864-2051

The enumeration date for this NPI number is 7/17/2006 and was last updated on 7/26/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NS0005XChiropractorSports Physician20898CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DCO208980MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2U39582MEDICARE UPINCALIFORNIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.