IVAN ANDERSON (NPI# 1891960076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891960076 |
| Entity Type | Individual |
| Full Name | IVAN ANDERSON |
| Credential | M.D. |
| Practice Address |
3288 Bell Rd Auburn CA 95603 |
| Mailing Address |
10470 Old Placerville Rd Ste 100 Sacramento CA 95827-2539 |
| Practice Telephone | 5307450700 |
| Practice Fax Number | 5307450701 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2019-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A110448 | CA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
15988 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1891960076 | 05 | |
| CAQH | 13566641 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 E 2nd St Ste 400, Reno, NV 895021198 | 7759822400 | 7759822888 |
| Street Address |
3288 BELL RD |
| City | AUBURN |
| State | CA |
| Zip Code | 95603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558362343 | Jack Alan Pearson | Internal Medicine | 3288 Bell Rd, Auburn, CA 95603-9243 | 2005-08-03 |
| 1851727598 | David Krommenhoek | Audiologist | 3288 Bell Rd, Auburn, CA 95603-9243 | 2013-09-25 |
| 1003177056 | Brandon Keith Hobel | Family Medicine | 3288 Bell Rd, Auburn, CA 95603-9243 | 2012-06-06 |
| 1912221458 | Erik Olesen | Marriage & Family Therapist | 3288 Bell Rd, Auburn, CA 95603-9243 | 2010-03-25 |
| 1275786980 | Nitin Mathur | Internal Medicine | 3288 Bell Rd, Auburn, CA 95603-9243 | 2008-10-24 |
| 1609055979 | Neda Bayat | Family Medicine | 3288 Bell Rd, Auburn, CA 95603-9243 | 2007-11-02 |
| 1801009253 | Sarah Lin-aamodt | Nurse Practitioner | 3288 Bell Rd, Auburn, CA 95603-9243 | 2007-05-08 |
| 1659447738 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 3288 Bell Rd, Auburn, CA 95603-9243 | 2006-11-28 |
| 1174617799 | Mark E Knoble | Family Medicine | 3288 Bell Rd, Auburn, CA 95603-9243 | 2006-10-03 |
| 1801987896 | John R Van Auker | Physician Assistant | 3288 Bell Rd, Auburn, CA 95603-9243 | 2006-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
| 1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
| 1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
| 1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
| 1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
| 1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
| 1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
| 1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
| 1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
| 1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
| Find all providers in zip 95603 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659476059 | Auburn Cardiology Associates | Internal Medicine | 3262 Fortune Ct, Auburn, CA 95602-7847 | 2006-09-13 |
| 1891809992 | Rama M Godishala Mdpc | Internal Medicine | 281 Grant Avenue, Auburn, NY 13021 | 2006-08-18 |
| 1306882303 | Auburn Cardiovascular, PC | Internal Medicine | 994 Drew Ln, Auburn, AL 36830-4302 | 2006-06-20 |
| 1265494561 | Venkatesh R. Kandallu | Internal Medicine | 205 10th St Ne, Auburn, WA 98002-4019 | 2006-04-04 |
| 1407828569 | Mary L Borgstadt | Internal Medicine | 735 12th St Se, Auburn, WA 98002-6709 | 2006-02-03 |
| 1710967153 | David N Abisalih | Internal Medicine | 2 Great Falls Plaza, Auburn, ME 04210-5966 | 2006-01-20 |
| 1407831381 | Tennyson G Lee | Internal Medicine | 3200 Bell Rd, Auburn, CA 95603-9244 | 2005-12-13 |
| 1477555316 | Ramamurthy Godishala | Internal Medicine | 281 Grant Ave, Auburn, NY 13021-1421 | 2005-08-11 |
| 1558362343 | Jack Alan Pearson | Internal Medicine | 3288 Bell Rd, Auburn, CA 95603-9243 | 2005-08-03 |
| 1962056408 | Auburn Community Hospital | Internal Medicine | 17 Lansing Street, Auburn, NY 13021 | 2019-08-01 |
| Find all providers in AUBURN | ||||
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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.