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).
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 |
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 |
Street Address |
2 EMBARCADERO CTR LBBY |
City | SAN FRANCISCO |
State | CA |
Zip Code | 94111-3823 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 94111 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
City | SAN FRANCISCO |
Zip Code | 94111 |
Please comment or provide details below to improve the information on BODHI M 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.