DR. JAMES ANDERSEN (NPI# 1295831741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295831741 |
| Entity Type | Individual |
| Full Name | DR. JAMES ANDERSEN |
| Credential | MD |
| Practice Address |
1500 E Duarte Rd Duarte CA 91010 |
| Mailing Address |
Po Box 512185 Los Angeles CA 90051-0185 |
| Practice Telephone | 6263598111 |
| Mailing Telephone | 6267753514 |
| Mailing Fax Number | 6262185310 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | G71255 | CA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | G71255 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G712550 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881950343 | James Hartman Andersen | Chiropractor | 188 N Bluff St, St George, UT 84770-4546 | 2012-04-09 |
| 1275764649 | James Andersen | Social Worker | 15 Nesbit Ave, # 2, West Hartford, CT 06119-2010 | 2009-08-04 |
| 1104047695 | James L. Andersen | Emergency Medical Technician, Basic | 2445 U.S. Hwy 98 North, Lakeland, FL 33805 | 2007-05-01 |
| 1679033500 | James Joseph Andersen II | Student in an Organized Health Care Education/Training Program | 281 1st Ave, New York, NY 10003-2925 | 2019-03-25 |
| 1093261042 | James A Andersen | Counselor | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2016-08-30 |
| 1255718201 | James Corbett Andersen | Student in an Organized Health Care Education/Training Program | 11234 Anderson Street, Loma Linda University Health Surgery Residency Program, Loma Linda, CA 92354-2804 | 2015-04-29 |
| 1528048881 | James R Andersen | Radiology | 700 S Park St, Madison, WI 53715-1849 | 2006-01-20 |
| Street Address |
1500 E DUARTE RD |
| City | DUARTE |
| State | CA |
| Zip Code | 91010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598731820 | John Hosei Yim | Surgery | 1500 E Duarte Rd, Duarte, CA 91010-3012 | 2006-02-27 |
| 1568989739 | Susan Shehayeb | Genetic Counselor, MS | 1500 E Duarte Rd, Duarte, CA 91010 | 2017-08-28 |
| 1992157325 | Bekir Suveyd | Internal Medicine | 1500 E Duarte Rd, Endocrinology, Gonda South Building, Suite 1011a, Duarte, CA 91010 | 2016-07-09 |
| 1548689649 | Jennifer Sarah Baecker | Nurse Practitioner | 1500 E Duarte Rd, Duarte, CA 91010 | 2014-04-16 |
| 1295176394 | Razmig Vatche Babikian | Registered Nurse | 1500 E Duarte Rd, Duarte, CA 91010-3012 | 2013-07-17 |
| 1902197254 | Mari Bozoghlanian | Radiology | 1500 E Duarte Rd, Helford Hospital, Rm 1300, Duarte, CA 91010 | 2011-04-20 |
| 1972828366 | Jamie Green Rand | Surgery | 1500 E Duarte Rd, Duarte, CA 91010-3012 | 2010-03-29 |
| 1053565143 | Lee Zuckerman | Orthopaedic Surgery | 1500 E Duarte Rd, Duarte, CA 91010-3012 | 2008-11-16 |
| 1033368642 | Finly Zachariah | Family Medicine | 1500 E Duarte Rd, Department of Supportive Care, Duarte, CA 91010-3012 | 2008-09-18 |
| 1891965836 | Lydia Helen Mormann | Nurse Practitioner | 1500 E Duarte Rd, Duarte, CA 91010 | 2008-03-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266849 | Cheyenne King | Student in an Organized Health Care Education/Training Program | 1801 Huntington Drive, Duarte, Ca 91010, Duarte, CA 91010 | 2020-05-07 |
| 1114578028 | Cristian Gonzalez | Case Manager/Care Coordinator | 2250 E Foothill Ave, Pasadena, CA 91010 | 2019-09-23 |
| 1366932378 | Maisie Madrid | Marriage & Family Therapist | 1801 Huntington Drive, Duarte, CA 91010 | 2018-05-15 |
| 1598289571 | Bertha Maria Torres | Social Worker | 938 E. Huntington Drive, Unit A, Duarte, CA 91010 | 2017-08-01 |
| 1598292286 | Sheila Ramirez | Occupational Therapy Assistant | 2302 Citrus View Ave, Duarte, CA 91010 | 2017-05-12 |
| 1982059556 | Patricia Mendoza | Case Manager/Care Coordinator | 2502 E.huntington Dr., Duarte, CA 91010 | 2016-05-02 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1477940161 | Jin Sun L Bitar | Internal Medicine | 1500 Duarte Rd # Wing4, Duarte, CA 91010 | 2015-04-20 |
| 1659625622 | Jeanette Marie Petermann | Nurse Practitioner | 1036 East Huntington Drive, Duarte, CA 91010 | 2012-10-30 |
| 1649534397 | Nathaniel J Khoe Dds. Inc | Dentist | 1016 Huntington Drive, Duarte, CA 91010 | 2012-06-27 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649413311 | Wai-yee Li | Plastic Surgery | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2009-04-10 |
| 1184862021 | Jeff Chang | Plastic Surgery | 1500 E. Duarte Road, Duarte, CA 91010 | 2009-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696048 | Victor Liu Md, A Medical Corporation | Plastic Surgery | 1720 El Camino Real Ste 200, Burlingame, CA 94010-3226 | 2020-10-09 |
| 1629683255 | Veritas Aesthetics PC | Plastic Surgery | 23838 Valencia Blvd Ste 260, Valencia, CA 91355-5630 | 2020-09-10 |
| 1700405586 | Keyian Paydar, Md, PC | Plastic Surgery | 3991 Macarthur Blvd Ste 320, Newport Beach, CA 92660-3004 | 2020-04-13 |
| 1548892045 | Adventist Health Physicians Network | Plastic Surgery | 301 Science Dr Ste 180, Moorpark, CA 93021-0800 | 2020-02-12 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1083259840 | Remedy Place Physicians | Plastic Surgery | 8305 Sunset Blvd, Los Angeles, CA 90069 | 2019-11-15 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1790341832 | Frederic Jerome Kolb | Plastic Surgery | 200 W Arbor Dr # Mc8890, San Diego, CA 92103-1911 | 2019-05-14 |
| 1588125835 | Beauty Eternal, Inc | Plastic Surgery | 1260 East Ave Ste 130, Chico, CA 95926-1021 | 2019-03-28 |
| 1689131229 | Schoemann Reconstructive Surgery | Plastic Surgery | 477 N El Camino Real Ste D101, Encinitas, CA 92024-1370 | 2019-03-01 |
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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.