DR. ZACHARY DAVID KARJALA ANDERSON (NPI# 1629604699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629604699 |
| Entity Type | Individual |
| Full Name | DR. ZACHARY DAVID KARJALA ANDERSON |
| Credential | DO, MS |
| Practice Address |
401 Bicentennial Way Ste 110 Santa Rosa CA 95403-2149 |
| Practice Telephone | 7073934000 |
| Mailing Telephone | 7073934000 |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174274 | Zachary Anderson | Student in an Organized Health Care Education/Training Program | 900 Ne 18th St, Oklahoma City, OK 73105-8204 | 2020-05-03 |
| 1720464787 | Zachary Anderson | Student in an Organized Health Care Education/Training Program | 1041 W Jordan Walk Way Apt 106, Midvale, UT 84047-4739 | 2015-07-31 |
| 1043523772 | Zachary Augustus Anderson | Durable Medical Equipment & Medical Supplies | 2333 Wellington Cir, Lithonia, GA 30058-8963 | 2010-07-22 |
| 1093337982 | Zachary Stephen Anderson | Student in an Organized Health Care Education/Training Program | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-05-13 |
| 1922665959 | Zachary Anderson | Dentist | 1339 W Main St, Newark, OH 43055-1821 | 2019-05-24 |
| 1962960427 | Zachary Anderson | Counselor | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2019-03-04 |
| 1386124121 | Zachary Anderson | Behavior Technician | 1353 E Main St, Brownsburg, IN 46112-1433 | 2018-08-21 |
| 1871028100 | Zachary John Anderson | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2017-04-24 |
| 1346772837 | Zachary Anderson | Student in an Organized Health Care Education/Training Program | Monroe Carell Jr Childrens Hospital At, 2200 Children's Way 8161 Dot, Nashville, TN 37232-9760 | 2017-04-03 |
| 1659735348 | Zachary Val Anderson | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 543, Little Rock, AR 72205-7199 | 2016-04-08 |
| Street Address |
401 BICENTENNIAL WAY STE 110 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881198745 | Elia R. Cole | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way Ste 110, Santa Rosa, CA 95403-2149 | 2018-03-23 |
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758931 | Allison Noesekabel | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way Rm 1201, Santa Rosa, CA 95403-2149 | 2020-04-03 |
| 1467083733 | Jessica Hetherington | Student in an Organized Health Care Education/Training Program | 2255 Challenger Way Ste 107, Santa Rosa, CA 95407-5423 | 2020-01-27 |
| 1184282121 | Isabella Maile Beal | Student in an Organized Health Care Education/Training Program | 2275 Warwick Dr, Santa Rosa, CA 95405-8677 | 2019-06-04 |
| 1366904963 | Nathaniel Parker | Student in an Organized Health Care Education/Training Program | 1002 Jennings Ave Apt 207, Santa Rosa, CA 95401-4347 | 2019-04-02 |
| 1265991509 | Ishika Arora | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way # 110, Santa Rosa, CA 95403-2149 | 2019-03-17 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1881198745 | Elia R. Cole | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way Ste 110, Santa Rosa, CA 95403-2149 | 2018-03-23 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1073049623 | Shyam Sunder Indrakanti | Student in an Organized Health Care Education/Training Program | 2824 Elk Ln, Santa Rosa, CA 95407-5029 | 2017-05-02 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on DR. ZACHARY DAVID KARJALA 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.