ROBERT MICHAEL ANDERSON (NPI# 1396374799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396374799 |
| Entity Type | Individual |
| Full Name | ROBERT MICHAEL ANDERSON |
| Practice Address |
10630 Sepulveda Blvd Ste 100 Mission Hills CA 91345-1937 |
| Mailing Address |
3361 Los Nogales Rd Simi Valley CA 93063-1102 |
| Practice Telephone | 8189334440 |
| Mailing Telephone | 8055517105 |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA58379 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13606 Terrace Creek Dr Apt 100, Louisville, KY 402454899 | 8055517105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942779004 | Robert J Anderson | Behavior Technician | 11898 S Hidden Valley Dr, Sandy, UT 84094-5735 | 2018-11-19 |
| 1538689401 | Robert Michael Anderson | Counselor | 434 Graves Mill Rd Ste 1, Lynchburg, VA 24502-5398 | 2017-06-22 |
| 1083142251 | Robert Owen Anderson | Optometrist | 15160 Foliage Ave Ste 180, Apple Valley, MN 55124-5916 | 2017-05-31 |
| 1588058861 | Robert Anderson | Psychiatry & Neurology | 209 Walnut St, San Francisco, CA 94118-2012 | 2015-03-24 |
| 1861803504 | Robert Anderson | Licensed Practical Nurse | 1474 Bonner Way, Estill Springs, TN 37330-4080 | 2014-05-15 |
| 1861803694 | Robert Jeffrey Anderson | Licensed Practical Nurse | 138 Pelican Cove Dr, Rockwall, TX 75087-4634 | 2014-05-14 |
| 1497016539 | Robert B Anderson IIi | Physical Therapist | 51 Weston St, Nutley, NJ 07110-2845 | 2012-06-05 |
| 1902197890 | Robert Kyle Anderson | Respiratory Therapist, Registered | 8509 Benjamin Rd Ste D, Tampa, FL 33634-1224 | 2011-04-26 |
| 1912233016 | Robert Charles Anderson | Chiropractor | 12234 W Cambridge Ave, Avondale, AZ 85392-5519 | 2009-10-23 |
| 1215195078 | Robert Martin Anderson | Dentist | 201 Station Way, Arroyo Grande, CA 93420 | 2008-05-29 |
| Street Address |
10630 SEPULVEDA BLVD STE 100 |
| City | MISSION HILLS |
| State | CA |
| Zip Code | 91345-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376819821 | Prohealth Medical Group, Inc | Preventive Medicine | 10630 Sepulveda Blvd Ste 100, Mission Hills, CA 91345-1937 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376141499 | Alpha Hospice | Hospice Care, Community Based | 15455 Devonshire St Suite 100a, Mission Hills, CA 91345 | 2020-10-12 |
| 1740725639 | Vivian Insua-lopez, Psy.d, Psychologist, Inc | Psychologist | 15455 San Fernando Misson Blvd., #308, Mission Hills, CA 91345 | 2016-12-30 |
| 1699162941 | Nancy M Kim Inc | Family Medicine | 11550 Indiana Hills Rd, 301, Mission Hills, CA 91345 | 2015-04-23 |
| 1881940088 | Prohealth-valley Occupational Medical Group | Clinic/Center | 10630 Sepulveda Blvd., Suite 100, Mission Hills, CA 91345 | 2012-07-25 |
| 1942588868 | Trauma & Critical Care Sfv Group Inc | Surgery | 11550 Indian Hills Road, Suite 310, Mission Hills, CA 91345 | 2011-07-26 |
| 1679860084 | Mirna G Villatoro | Residential Treatment Facility, Physical Disabilities | 11100 Sepulveda Blvd, # 232, Mission Hills, CA 91345 | 2011-07-06 |
| 1093010944 | Ana Yvette Alvarez | Rehabilitation Practitioner | 11565 Laurel Canyon Blvd. Suite 116, Mission Hills, CA 91345 | 2011-01-24 |
| 1811226392 | Tender Home Health | Home Health | 10117 Sepulveda Blvd Ste 205a, Mission Hills, CA 91345 | 2009-12-14 |
| 1033387279 | Jamal Elias Khoury | Chiropractor | 15336 Devonshire St. Ste 3, Mission Hills, CA 91345 | 2008-02-11 |
| 1043497282 | Ana Elena Aldana | Counselor | 10200 Sepulveda Blvd., Unit 100, Mission Hills, CA 91345 | 2008-01-30 |
| Find all providers in zip 91345 | ||||
| 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 |
|---|---|---|---|---|
| 1922237882 | David Anthony Garcia | Physician Assistant | 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 | 2009-07-13 |
| 1801251087 | Jennifer Kulesza | Physician Assistant | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2015-12-15 |
| 1912384181 | Evan Quick | Physician Assistant | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2015-04-27 |
| 1144654609 | Bahar Mehdizadeh Naderi | Physician Assistant | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2013-09-02 |
| 1023455706 | Lisa Ben Refael | Physician Assistant | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2013-06-04 |
| 1720394000 | Marie N Hamilton | Physician Assistant | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2010-08-25 |
| 1578884136 | Catherine P. Czubiak | Physician Assistant | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2010-06-17 |
| 1215254461 | Michele Missakian | Physician Assistant | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2010-04-28 |
| 1821313875 | Marian E Ammari | Physician Assistant | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2010-04-02 |
| 1629205323 | Jennifer M Fernandez | Physician Assistant | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2009-06-19 |
| Find all providers in MISSION HILLS | ||||
| City | MISSION HILLS |
| Zip Code | 91345 |
Please comment or provide details below to improve the information on ROBERT MICHAEL 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.