DR. DAVID BOONE ANDERSON (NPI# 1992891808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992891808 |
| Entity Type | Individual |
| Full Name | DR. DAVID BOONE ANDERSON |
| Credential | M.D. |
| Practice Address |
12462 Putnam St Suite 500 Whittier CA 90602-1048 |
| Practice Telephone | 5627895449 |
| Practice Fax Number | 5627894449 |
| Mailing Telephone | 5627895449 |
| Mailing Fax Number | 5627894449 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2015-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | G56515 | CA | Other Service Providers |
| Y | 208600000X | Surgery | MD2014-0254 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA LICENSE | BA1657456 | 01 |
| CA | 00G565151 | 05 |
| 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 |
12462 PUTNAM ST SUITE 500 |
| City | WHITTIER |
| State | CA |
| Zip Code | 90602-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364968 | Neil Elliot Klein | Plastic Surgery | 12462 Putnam St, Ste 501, Whittier, CA 90602-1048 | 2005-05-31 |
| 1609120435 | Rosemary Rodrigues Melesko | Nurse Practitioner | 12462 Putnam St, Whittier, CA 90602-1048 | 2012-10-31 |
| 1265784698 | Angela Marie Granados | Nurse Practitioner | 12462 Putnam St, Suite #303, Whittier, CA 90602-1048 | 2012-10-09 |
| 1073835351 | Sara Soto | Obstetrics & Gynecology | 12462 Putnam St, Whittier, CA 90602-1048 | 2010-02-27 |
| 1629210364 | Christine Acornley Besel | Nurse Practitioner | 12462 Putnam St, Suite 303, Whittier, CA 90602-1048 | 2009-03-26 |
| 1356597819 | Rachael Moore | Dermatology | 12462 Putnam St, Suite 501, Whittier, CA 90602-1048 | 2008-08-14 |
| 1235398439 | Samuel S. Im, Md, Inc. | Obstetrics & Gynecology | 12462 Putnam St, Suite 303, Whittier, CA 90602-1048 | 2008-06-03 |
| 1184891830 | Patrick L Dominguez | Dermatology | 12462 Putnam St, Suite 501, Whittier, CA 90602-1048 | 2008-05-13 |
| 1457535940 | Andrew Hsiao | Orthopaedic Surgery | 12462 Putnam St, Suite 402, Whittier, CA 90602-1048 | 2007-12-20 |
| 1053505636 | Minggen Kuo | Internal Medicine | 12462 Putnam St, Suite #208, Whittier, CA 90602-1048 | 2007-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346896412 | Alexis Pettway | Specialist/Technologist | 13847 Earlham Drive, Whittier, CA 90602 | 2019-08-14 |
| 1053898486 | Bridget Joanne Islas | Case Manager/Care Coordinator | 8219 Milton Ave., Apt. D, Whittier, CA 90602 | 2018-07-27 |
| 1184175606 | Metzie America Moran | Specialist | 8135 Painter Ave Suite 201, Whittier, CA 90602 | 2016-10-19 |
| 1811348360 | Jasmine Renee Simmons | Speech-Language Pathologist | 8135 Painter Avenue, Suite #200, Whittier, CA 90602 | 2016-06-27 |
| 1194108084 | Aaronshawn Poolsaad | Optometrist | 8135 Painter Ave Ste 100, Whittier, CA 90602 | 2015-07-09 |
| 1124409677 | Alliance Orthotics & Prosthetics Inc. | Clinic/Center | 12458 East Washington Blvd, Whittier, CA 90602 | 2015-06-10 |
| 1205223567 | Maria Ursula Jarrin Lopez | Speech-Language Pathologist | 8135 Painter Avenue, Suite 201, Whittier, CA 90602 | 2015-04-23 |
| 1932595055 | Sotto Lin Weng | Acupuncturist | 7754 Painter Avenue, Whittier, CA 90602 | 2015-04-15 |
| 1770978660 | Carolyn Rumpeltes | Physician Assistant | 12462 Putnam St Ste 203, Whittier, CA 90602 | 2015-03-30 |
| 1609273671 | Anthony Razon | Specialist/Technologist | 8132 Painter Ave Ste 201, Whittier, CA 90602 | 2014-11-19 |
| Find all providers in zip 90602 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174763643 | Courtney Anne Vito | Surgery | 12462 Putnam St Ste 501, Whittier, CA 90602-1049 | 2009-02-24 |
| 1881776540 | Alvin Carl Shon | Surgery | 7957 Painter Ave, Suite 102, Whittier, CA 90602-2434 | 2006-10-20 |
| 1902992001 | Herman Lewis Smith | Surgery | 14350 E Whittier Blvd 325, Whittier, CA 90605-2151 | 2006-10-05 |
| 1922354828 | Samuel Kim | Surgery | 12462 Putnam St Ste 500, Whittier, CA 90602-1049 | 2012-07-28 |
| 1568729184 | Rayan Eshaghian | Surgery | 12462 Putnam St Ste 500, Whittier, CA 90602-1049 | 2012-04-20 |
| 1225231137 | Kennith O. Thompson | Surgery | 7957 Painter Ave, Suite 102, Whittier, CA 90602-2434 | 2007-06-07 |
| 1710107842 | Hose Kim | Surgery | 6712 Friends Ave, Whittier, CA 90601-4432 | 2007-04-30 |
| 1902924905 | Charles M. Garner, M.d. | Surgery | 14350 Whittier Blvd, 325, Whittier, CA 90605-2138 | 2007-03-27 |
| 1417074683 | Eduardo A Tovar, M.d. A Medical Corp | Surgery | 12462 Putnam St., Suite 200, Whittier, CA 90602-1002 | 2007-03-23 |
| 1376699504 | Justin David Braverman | Surgery | 12462 Putnam St Ste 500, Whittier, CA 90602-1049 | 2007-01-29 |
| Find all providers in WHITTIER | ||||
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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.