DR. PAUL DEDERICK ANDERSON (NPI# 1043351380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043351380 |
| Entity Type | Individual |
| Full Name | DR. PAUL DEDERICK ANDERSON |
| Credential | M.D. |
| Practice Address |
11272 Merritt St # F Castroville CA 95012-3422 |
| Practice Telephone | 8316331831 |
| Practice Fax Number | 8316331835 |
| Mailing Telephone | 8316331831 |
| Mailing Fax Number | 8316331835 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G-046162 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184188146 | Paul Taylor Anderson | Specialist/Technologist | 11672 Stockmeyer Dr, El Paso, TX 79936-0813 | 2019-01-24 |
| 1184096976 | Paul David Anderson Jr. | Home Health Aide | 118 Morell Dr, Simpsonville, SC 29681-4677 | 2015-10-20 |
| 1083850671 | Paul S Anderson | Counselor | 220 Vinita Rd, Nowata, OK 74048-9443 | 2009-01-02 |
| 1063663540 | Paul D. Anderson | Physical Therapist | 75 W Main Street Ct Ste 100, Alpine, UT 84004-5602 | 2008-10-02 |
| 1528250396 | Paul S Anderson | Anesthesiology | 128 Peachtree Ln Ste B, Advance, NC 27006-6783 | 2007-08-15 |
| 1871783050 | Paul Leroy Anderson Jr. | Dentist | 882 Lancaster Ave, Devon, PA 19333 | 2007-07-25 |
| 1508065939 | Paul Edward Anderson | General Practice | Harboldt Rd, Altamont, TN 37301 | 2007-07-16 |
| 1629113303 | Paul Stanley Anderson | Naturopath | 2150 N. 107th St, Suite 400, Seattle, WA 98133-9009 | 2007-02-21 |
| 1659449098 | Paul Daniel Anderson | Dentist | 4778 Banning Ave, White Bear Lake, MN 55110-3264 | 2006-12-02 |
| 1720174733 | Paul M Anderson | Specialist | 2010 Chestnut, Suite F, Van Buren, AR 72956 | 2006-10-05 |
| Street Address |
11272 MERRITT ST # F |
| City | CASTROVILLE |
| State | CA |
| Zip Code | 95012-3422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801180302 | Molly Edwards-jones | Chiropractor | 11282 Merritt Street, Castroville, CA 95012 | 2011-06-02 |
| 1285675462 | Karen Ong | Audiologist | 650 E Indian School Rd (126), Carl T Hayden Vamc, Phoenix, AZ 95012 | 2006-06-09 |
| 1023452497 | Nichola Karma Patterson | Registered Nurse | 11099 Sanchez St Apt A, Castroville, CA 95012-2571 | 2013-04-29 |
| 1619163680 | Monterey County Bhd Dba Castroville Therapeutic School | Clinic/Center | 10301 Seymour St, Castroville, CA 95012-2606 | 2007-09-24 |
| 1508874017 | Oguchi Nkwocha | Family Medicine | 10561 Merritt St, Castroville, CA 95012-3310 | 2006-08-03 |
| 1932408481 | Mary Putnam Cousineau | Registered Nurse | 10561 Merritt St, Castroville, CA 95012-3310 | 2011-03-23 |
| 1942462320 | Amir Nasr Helali | Family Medicine | 10561 Merritt St, Castroville, CA 95012-3310 | 2008-06-27 |
| 1952597460 | Najia Gardezy | Dentist | 10561 Merritt St, Castroville, CA 95012-3310 | 2007-09-18 |
| 1013058106 | Clinica De Salud Del Valle De Salinas | Clinic/Center | 10561 Merritt St, Castroville, CA 95012-3310 | 2007-02-09 |
| 1376556944 | Timothy Joseph Brennan | Family Medicine | 10561 Merritt St, Castroville, CA 95012-3310 | 2006-08-14 |
| Find all providers in zip 95012 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000141 | Suman S Kuppahally, M.d. Inc | Internal Medicine | 2505 Samaritan Dr Ste 600, San Jose, CA 95124-4017 | 2020-10-11 |
| 1336754472 | Ankur Gupta Medical Corporation | Internal Medicine | 820 S Akers St Ste 130, Visalia, CA 93277-8346 | 2020-09-15 |
| 1295351740 | Penciu Medical Apmc | Internal Medicine | 1585 Sierra Madre Villa Ave, Pasadena, CA 91107-1259 | 2020-06-21 |
| 1679113336 | La Pulse Medical, Inc | Internal Medicine | 14558 Sylvan St Ste 105, Van Nuys, CA 91411-2324 | 2020-01-10 |
| 1770122871 | John R. Nelson M.d. Inc. | Internal Medicine | 7061 N Whitney Ave Ste 101, Fresno, CA 93720-8025 | 2020-01-06 |
| 1730725789 | Norcal Medical Services, Inc | Internal Medicine | 2267 Lava Ridge Ct, Roseville, CA 95661-3062 | 2019-11-25 |
| 1932750957 | Enloe Medical Center | Internal Medicine | 1430 Esplanade Ste 6, Chico, CA 95926-3366 | 2019-09-20 |
| 1528610425 | Nicholas Russell | Internal Medicine | 2967 N Moorpark Rd, Thousand Oaks, CA 91360-4573 | 2019-07-10 |
| 1043871627 | Gy Medical Clinic Inc | Internal Medicine | 7400 Van Nuys Blvd Ste 112, Van Nuys, CA 91405-1972 | 2019-06-25 |
| 1902465792 | Pacific Heart & Vascular | Internal Medicine | 1234 W. Chapman Ave, Ste #101, Orange, CA 92868-2862 | 2019-06-06 |
| Find all providers with the same taxonomy | ||||
| City | CASTROVILLE |
| Zip Code | 95012 |
Please comment or provide details below to improve the information on DR. PAUL DEDERICK ANDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.