JEFFREY J ANDERSON (NPI# 1639285927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639285927 |
| Entity Type | Individual |
| Full Name | JEFFREY J ANDERSON |
| Credential | M.D. |
| Practice Address |
333 Oconnor Dr San Jose CA 95128-1623 |
| Practice Telephone | 4082973484 |
| Practice Fax Number | 4082926481 |
| Mailing Telephone | 4082973484 |
| Mailing Fax Number | 4082926481 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2010-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G42755 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 6353518 | 05 | |
| CA | RR MEDICARE | P00607979 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326524596 | Jeffrey Anderson | Dentist | 2304 E Bidwell St # 100, Folsom, CA 95630-3455 | 2018-07-11 |
| 1295238830 | Jeffrey Todd Anderson | Occupational Therapist | 100 Woodbrook Dr, Charlottesville, VA 22901-1147 | 2018-03-09 |
| 1902263700 | Jeffrey Anderson | Durable Medical Equipment & Medical Supplies | 420 S 100 E, Farmington, UT 84025-2276 | 2016-01-25 |
| 1891151015 | Jeffrey Anderson | Counselor | 555 S Palm Canyon Dr Ste A202, Palm Springs, CA 92264-7210 | 2016-01-04 |
| 1801294558 | Jeffrey Paul Anderson | Registered Nurse | 1992 S Gregg Rd, Akron, OH 44319-1306 | 2014-12-11 |
| 1013336890 | Jeffrey Anderson | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Box 356410, University of Washington, Department of Surgery, Seattle, WA 98195 | 2014-04-09 |
| 1700223708 | Jeffrey Davis Anderson | Dentist | 5754 Antioch Rd, Merriam, KS 66202-2015 | 2013-05-30 |
| 1659608578 | Jeffrey G. Anderson | Spec/Tech, Pathology | Psc 461, Medical Unit, Fpo, AP 96521-0050 | 2009-11-13 |
| 1326371212 | Jeffrey Alan Anderson | Physician Assistant | 410 Sheridan Ave - 529th Rsc, Attn: Regimental Aid Station, Fort Myer, VA 22211 | 2009-09-10 |
| 1306094420 | Jeffrey Scott Anderson | Counselor | 226 Linda Ave., Hawthorne, NY 10532 | 2008-09-03 |
| Street Address |
333 OCONNOR DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235699307 | Meghan Lillian Mills | Nurse Practitioner | 333 Oconnor Dr, San Jose, CA 95128-1623 | 2019-03-23 |
| 1891090478 | Stephanie Ann Starritt | Physician Assistant | 333 Oconnor Dr, San Jose, CA 95128-1623 | 2011-01-13 |
| 1356582084 | Julie Alison Cragholm | Physician Assistant | 333 Oconnor Dr, San Jose, CA 95128-1623 | 2009-03-09 |
| 1275723892 | Wendy Flapan D.o., Inc. | Physical Medicine & Rehabilitation | 333 Oconnor Dr, San Jose, CA 95128-1623 | 2007-07-30 |
| 1457423147 | Eugene D Dellamaggiore | Orthopaedic Surgery | 333 Oconnor Dr, San Jose, CA 95128-1623 | 2006-11-15 |
| 1588741433 | Wendy Flapan | Physical Medicine & Rehabilitation | 333 Oconnor Dr, San Jose, CA 95128-1623 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467965293 | Kathleen Dawn Kraskouskas | Specialist | 541 W Julian St, San Jose, CA 95110-2338 | 2017-11-15 |
| 1861927568 | Crossover Health Medical Group | Specialist | 5601 Great Oaks Pkwy, Bldg 050, San Jose, CA 95119-1003 | 2017-05-01 |
| 1629503255 | Professional Medical Claims Services | Specialist | 5646 Bluegrass Ln, San Jose, CA 95118-3513 | 2017-04-20 |
| 1669873204 | Wendy Ann Brotherton | Specialist | 1401 Parkmoor Ave Ste 230, San Jose, CA 95126-3407 | 2014-09-15 |
| 1225467756 | Ir Solutions Inc | Specialist | 105 N Bascom Ave Ste 104, San Jose, CA 95128-1811 | 2013-11-05 |
| 1558793653 | Angela Dawn Ballou | Specialist | 1052 Delna Manor Ln, San Jose, CA 95128-3457 | 2013-07-31 |
| 1295089670 | Huong Yen Duong | Specialist | 184 Checkers Dr, San Jose, CA 95116-1359 | 2012-11-06 |
| 1407116213 | Cherie Jones | Specialist | 2555 Corde Terra Cir, #331, San Jose, CA 95111-1955 | 2012-05-25 |
| 1215294129 | Nguyen Tan | Specialist | 110 Jackson St, San Jose, CA 95112-5105 | 2012-04-16 |
| 1447522602 | Daniela Bayer | Specialist | 560 S Winchester Blvd, Suite 500, San Jose, CA 95128-2560 | 2012-02-03 |
| Find all providers in SAN JOSE | ||||
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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.