DR. WAYNE C. ANDERSON (NPI# 1124251848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124251848 |
| Entity Type | Individual |
| Full Name | DR. WAYNE C. ANDERSON |
| Credential | ND, PA |
| Practice Address |
3471 Regional Pkwy Santa Rosa CA 95403-8209 |
| Practice Telephone | 7075755180 |
| Practice Fax Number | 7075755509 |
| Mailing Telephone | 7075755180 |
| Mailing Fax Number | 7075755509 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA11839 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902834914 | Wayne Julius Anderson | Family Medicine | 550 E Colorado Blvd, Spearfish, SD 57783-2776 | 2006-06-29 |
| 1619257599 | Wayne S Anderson | Behavioral Analyst | 2325 Nw 114th St, Oklahoma City, OK 73120-7316 | 2011-08-23 |
| 1396890943 | Wayne Anderson | Anesthesiology | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660 | 2007-01-24 |
| 1053417840 | Wayne L Anderson | Surgery | 1213 15th Ave W, Suite 200, Williston, ND 58801 | 2006-09-16 |
| 1659481059 | Wayne Clark Anderson | Dentist | 200 Doctors Drive, Suite F, Jacksonville, NC 28546 | 2006-08-30 |
| 1316988587 | Wayne R. Anderson | Family Medicine | 10862 Calle Verde, La Mesa, CA 91941-7338 | 2006-06-09 |
| 1912958414 | Wayne C Anderson | Internal Medicine | 807 N Myrtle Ave, Clearwater, FL 33755-4254 | 2006-05-12 |
| 1679559421 | Wayne E Anderson | Psychiatry & Neurology | 45 Castro St, Suite 225, San Francisco, CA 94114-1010 | 2005-12-22 |
| 1396747515 | Wayne C Anderson | Physician Assistant | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-01 |
| Street Address |
3471 REGIONAL PKWY |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-8209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174510788 | Neil J Nathan | Family Medicine | 3471 Regional Pkwy, Santa Rosa, CA 95403-8209 | 2005-09-29 |
| 1346431483 | Justin Cauntay | Family Medicine | 3471 Regional Pkwy, Santa Rosa, CA 95403-8209 | 2007-08-05 |
| 1699863233 | Eric David Gordon | Family Medicine | 3471 Regional Pkwy, Santa Rosa, CA 95403-8209 | 2006-10-10 |
| 1477596518 | Azra Mael | Family Medicine | 3471 Regional Pkwy, Santa Rosa, CA 95403-8209 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139091 | Jenny Quan | Physician Assistant | 2300 Mendocino Ave Ste 4, Santa Rosa, CA 95403-3115 | 2018-10-11 |
| 1760978506 | Rhett Chandler Lacey | Physician Assistant | 545 Caber Dr, Santa Rosa, CA 95409-4404 | 2018-07-05 |
| 1417079112 | James Thomas Williams | Physician Assistant | 728 Mendocino Ave, Santa Rosa, CA 95401-4804 | 2007-04-04 |
| 1356491112 | Jaremy Lowe Kwock | Physician Assistant | 525 Doyle Park Dr Ste 102, Santa Rosa, CA 95405-4562 | 2007-01-11 |
| 1235203274 | Ann S Bruner-welch | Physician Assistant | 401 Bicentennial Way # 120, Santa Rosa, CA 95403-2149 | 2006-11-20 |
| 1770672925 | Robert Evan Crenshaw | Physician Assistant | 401 Bicentennial Way Ste 120, Santa Rosa, CA 95403-2149 | 2006-10-12 |
| 1982640298 | Amy K Jones | Physician Assistant | 1221 N Dutton Ave, Concentra Medical Group, Santa Rosa, CA 95401-4607 | 2006-06-22 |
| 1821068669 | Christine J Perkowska | Physician Assistant | 583 Summerfield Rd, Santa Rosa, CA 95405-5239 | 2006-01-24 |
| 1649265976 | Heather Noel Silva | Physician Assistant | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2005-09-13 |
| 1538167226 | Wendy A Williams | Physician Assistant | 2455 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2005-07-07 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
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| 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.