MR. DAVID C ANDERSON II (NPI# 1649303165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649303165 |
| Entity Type | Individual |
| Full Name | MR. DAVID C ANDERSON II |
| Credential | P.A.C |
| Practice Address |
1304 Ella St Ste A San Luis Obispo CA 93401-4165 |
| Mailing Address |
1400 E Church Street Medical Staff Santa Maria CA 93454-2537 |
| Practice Telephone | 8055499555 |
| Practice Fax Number | 8055490444 |
| Mailing Telephone | 8057393114 |
| Mailing Fax Number | 8057393502 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 15684 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHYSICIAN ASSISTANT LICENSE | PA15684 | 01 |
| CA | DEA | MA2293455 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819875 | David Melville Anderson | Technician | 2558 S Anaheim St Apt 102, Aurora, CO 80014-1482 | 2020-07-27 |
| 1023645447 | David Allen Anderson | Nursing Care | 7746 Orchard Village Dr, Indianapolis, IN 46217-2907 | 2020-03-25 |
| 1467956615 | David Edward Anderson | Counselor | 4747 Arapahoe Ave Dept Case, Boulder, CO 80303-1131 | 2018-03-22 |
| 1548672702 | David Anderson | Dentist | 4207 W Electra Ln, Glendale, AZ 85310-5571 | 2014-05-22 |
| 1518390020 | David Anderson | Pharmacist | 3615 Gibraltar Dr, Reno, NV 89509-5617 | 2013-08-20 |
| 1518301217 | David Allen Anderson | Counselor | 13568 Sw 61st Ave, Suite 315, Portland, OR 97219-8132 | 2013-04-24 |
| 1316272636 | David Paul Anderson | Chiropractor | 10585 Scripps Poway Parkway, #c, San Diego, CA 92131 | 2009-10-05 |
| 1568695435 | David Robert Anderson II | Pharmacist | 202 Market St Ste J, Cramerton, NC 28032-1148 | 2009-08-26 |
| 1093946469 | David John Anderson | Dentist | 5192 Dawes Avenue, Alexandria, VA 22311 | 2009-08-04 |
| 1396995247 | David Marshall Anderson | Psychologist | 101 E 56th St, New York, NY 10022 | 2008-09-29 |
| Street Address |
1304 ELLA ST STE A |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-4165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639155468 | Laura A Lubarsky | Internal Medicine | 1304 Ella St Ste A, San Luis Obispo, CA 93401-4165 | 2005-12-22 |
| 1942761945 | James Sellers | Nurse Practitioner | 1304 Ella St Ste A, San Luis Obispo, CA 93401-4165 | 2019-03-31 |
| 1235613191 | Claudia Franke | Physician Assistant | 1304 Ella St Ste A, San Luis Obispo, CA 93401-4165 | 2018-09-17 |
| 1861741787 | Jemely Ramos Villegas | Nurse Practitioner | 1304 Ella St Ste A, San Luis Obispo, CA 93401-4165 | 2012-09-06 |
| 1871633784 | Ross G Michel | Internal Medicine | 1304 Ella St Ste A, San Luis Obispo, CA 93401-4165 | 2007-02-08 |
| 1114039153 | Matthew John Katics | Family Medicine | 1304 Ella St Ste A, San Luis Obispo, CA 93401-4165 | 2006-08-31 |
| 1295763449 | James P. Schilz | Orthopaedic Surgery | 1304 Ella St Ste A, San Luis Obispo, CA 93401 | 2006-06-28 |
| 1255374690 | Kathryn Jean Veyna | Registered Nurse | 1304 Ella St Ste A, San Luis Obispo, CA 93401-4165 | 2006-06-14 |
| 1760468599 | Thomas R Vendegna | Internal Medicine | 1304 Ella St Ste A, San Luis Obispo, CA 93401-4165 | 2005-12-22 |
| 1750367587 | Mark I Soll | Internal Medicine | 1304 Ella St Ste A, San Luis Obispo, CA 93401-4165 | 2005-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| 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 |
|---|---|---|---|---|
| 1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
| 1033684774 | Taryn Alexandra Pearl | Physician Assistant | 892 Aerovista Pl, Suite 130, San Luis Obispo, CA 93401-8054 | 2018-10-09 |
| 1457864597 | Peter George May | Physician Assistant | 2365 Sunset Dr, San Luis Obispo, CA 93401-4651 | 2017-11-12 |
| 1003364191 | Taylor Suzanne Wahl | Physician Assistant | 1235 Osos St # 100, San Luis Obispo, CA 93401-3619 | 2016-09-16 |
| 1649423542 | Jarred Dewayne Minefee | Physician Assistant | 283 Madonna Road, Suite B, San Luis Obispo, CA 93405 | 2008-10-23 |
| 1558475699 | Mark Mason Haley | Physician Assistant | One Grand Ave, San Luis Obispo, CA 93407-0210 | 2006-08-18 |
| 1902873748 | Mark J Hollis | Physician Assistant | 15 Santa Rosa Street, San Luis Obispo, CA 93405-1811 | 2006-03-01 |
| 1235116955 | Julia Elizabeth Davison | Physician Assistant | 1551 Bishop St Ste A150, San Luis Obispo, CA 93401-4635 | 2005-12-22 |
| 1083197354 | Natalie Matenaer | Physician Assistant | 990 Pacific St, San Luis Obispo, CA 93401-6309 | 2018-09-12 |
| 1922589548 | Jessy Mackenzie Arthurs | Physician Assistant | 1235 Osos St Ste 100, San Luis Obispo, CA 93401-3619 | 2018-08-22 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on MR. DAVID C ANDERSON II.
| 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.