BODHI M ANDERSON


Address: 2 Embarcadero Ctr Lbby, San Francisco, CA 94111-3823
Phone: 4155783100

BODHI M ANDERSON (NPI# 1730384942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730384942
Entity Type Individual
Full Name BODHI M ANDERSON
Credential PAC
Practice Address 2 Embarcadero Ctr Lbby
San Francisco
CA 94111-3823
Mailing Address 1 Embarcadero Ctr Ste 1900
San Francisco
CA 94111-3723
Practice Telephone 4155783100
Mailing Telephone 4156586791
Mailing Fax Number 4155200904
Enumeration Date 2007-06-18
Last Update Date 2020-06-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 52038 CA Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
PA031084 DC Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
018111 NY Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
5824 AZ Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
PA5215 MA Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
AMD-416 HI Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
085.005337 IL Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
52038 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2 EMBARCADERO CTR LBBY
City SAN FRANCISCO
State CA
Zip Code 94111-3823

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609865740 Renaldo Barrios Nurse Practitioner 2 Embarcadero Ctr Lbby, San Francisco, CA 94111-3823 2005-10-20
1336541648 Kristine Senkier Physician Assistant 2 Embarcadero Ctr Lbby, San Francisco, CA 94111-3823 2014-09-17
1285069120 Michele Johnson Physician Assistant 2 Embarcadero Ctr Lbby, San Francisco, CA 94111-3823 2013-09-11
1134468515 Desmond James Watt Physician Assistant 2 Embarcadero Ctr Lbby, San Francisco, CA 94111-3823 2013-02-05
1407135957 Jessica Ann Capretto Physician Assistant 2 Embarcadero Ctr Lbby, San Francisco, CA 94111-3823 2011-08-15
1770884736 Emily J Turner Physician Assistant 2 Embarcadero Ctr Lbby, San Francisco, CA 94111-3823 2010-11-08
1316247174 Julie Gray Shaw Nurse Practitioner 2 Embarcadero Ctr Lbby, San Francisco, CA 94111-3823 2010-10-27
1376878165 Heather Elizabeth Laird Nurse Practitioner 2 Embarcadero Ctr Lbby, San Francisco, CA 94111-3823 2009-10-12
1467524579 Caroline E Ahlquist Physician Assistant 2 Embarcadero Ctr Lbby, San Francisco, CA 94111-3823 2006-11-14
1013932094 Amee J Koch Family Medicine 2 Embarcadero Ctr Lbby, San Francisco, CA 94111-3823 2006-07-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437704574 Dannielle Robin Jardine Behavior Technician 744 Montgomery St Suite 400, San Francisco, CA 94111 2019-08-06
1427543784 Christopher Steven Olsen Dentist Two Embarcadero Center, Promenade Level, San Francisco, CA 94111 2018-06-28
1275042319 Leena Suthar Pandya Naturopath 747 Front Street, C/o Empower, San Francisco, CA 94111 2017-09-20
1619353943 Rebecca Ho Lee Behavioral Analyst 744 Montgomery St #400, San Francisco, CA 94111 2015-08-10
1497146229 Lisa Shaw Physical Therapist 659 Commercial St, Suite 101, San Francisco, CA 94111 2015-02-16
1730594227 Travel Well Corporation Preventive Medicine 1750 Montgomery St. 1st Floor, San Francisco, CA 94111 2014-06-24
1881006724 Corey Todhunter Chiropractor 9 Columbus Avenue, San Francisco, CA 94111 2014-05-27
1033557574 Geetha Ravi Thaker Family Medicine 2 Embarcadero Ctr Lbby Level415, San Francisco, CA 94111 2013-06-06
1700155298 Owen D. Renik Psychiatry & Neurology 388 Market Street, Suite 1010, San Francisco, CA 94111 2011-12-29
1306115217 Mary Catherine Shipman Family Medicine 440 Davis Court, Apt 1012, San Francisco, CA 94111 2011-12-21
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770078479 Alexis Christine Kofoed Physician Assistant 1 Embarcadero Ctr # R-1203, San Francisco, CA 94111-3628 2018-06-25
1992253579 Christopher Dambroso Physician Assistant 690 Long Bridge St, Apt 414, San Francisco, CA 94158-2391 2016-09-13
1720479553 Naf Nasser Almadari Physician Assistant 717 Baden Ave, San Francisco, CA 94080 2015-02-16
1972947950 William Karnett Physician Assistant 1426 Fillmore St Ste 206, San Francisco, CA 94115-7408 2013-04-22
1144474099 Adam Morris Physician Assistant 930 Cole St Ste 102, San Francisco, CA 94117-4367 2008-11-05
1285834309 Rona Sharon Haertel Physician Assistant 780 S Airport Blvd, International Terminal Level 3, San Francisco, CA 94128 2007-07-18
1740303288 Sarah J Maxwell Physician Assistant 110 Sutter St Ste 200, Metropolitan Medical Group, San Francisco, CA 94104-4008 2007-04-09
1356407951 David E Allen Physician Assistant 1 Shrader St., Suite 650, San Francisco, CA 94117 2006-12-28
1093882540 Catherine Elizabeth Thompson Physician Assistant 3801 Sacramento St Ste 100, San Francisco, CA 94118-1625 2006-11-29
1134169410 Richard Thomas Dibella Physician Assistant 2324 Sacramento St Ste 111, San Francisco, CA 94115-2383 2006-06-07
Find all providers in SAN FRANCISCO

Competitor

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City SAN FRANCISCO
Zip Code 94111

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Dataset Information

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.

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