Kathleen Anderson (NPI# 1629029996, PAC ID# 5193726008) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1629029996 |
| PAC ID by PECOS | 5193726008 |
| Professional Enrollment ID | I20070119000299 |
| Full Name | Kathleen Anderson |
| Organization Legal Name | SPRINGBOK MEDICAL GROUP INC |
| Address |
620 E Janss Rd Thousand Oaks Urgent Care Thousand Oaks CA 91360-5113 |
| Phone Number | 8054956866 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 8820251424 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 2080 Newbury Rd, Newbury Park, CA 91320-3370 | 8054990308 | NEWBURY PARK URGENT CARE CENTER LTD |
| 620 E Janss Rd, Thousand Oaks Urgent Care, Thousand Oaks, CA 91360-5113 | 8054956866 | SPRINGBOK MEDICAL GROUP INC |
| Organization Legal Name | SPRINGBOK MEDICAL GROUP INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joey Liu | Family Medicine | Springbok Medical Group Inc | 620 E Janss Rd, Thousand Oaks Urgent Care, Thousand Oaks, CA 91360-5113 |
| Street Address |
620 E JANSS RD THOUSAND OAKS URGENT CARE |
| City | THOUSAND OAKS |
| State | CA |
| Zip | 91360-5113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joey Liu | Family Medicine | Springbok Medical Group Inc | 620 E Janss Rd, Thousand Oaks Urgent Care, Thousand Oaks, CA 91360-5113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald A Popper | Sleep Medicine | 2230 Lynn Rd, Suite 101, Thousand Oaks, CA 91360-1360 | |
| Mark D Suski | Plastic and Reconstructive Surgery | 227 W Janss Rd, Suite 205, Thousand Oaks, CA 91360-1827 | |
| Brian Truong | Emergency Medicine | Los Robles Emergency Physicians Medical Group | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| William L Matzner | Internal Medicine | Orion Medical Group | 215 W Janns Rd, Thousand Oaks, CA 91360-1847 |
| Catherine A Moses | Diagnostic Radiology | Los Robles Radiologic Associates | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Rashita Aggarwal | Internal Medicine | Allure Medical Group A Professional Corporation | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Andrew Cannon | Anesthesiology | Conejo Los Robles Anesthesiology Medical Group, Inc | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Pejman Badiei | Internal Medicine | Allure Medical Group A Professional Corporation | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Barry D Klein | Diagnostic Radiology | Los Robles Radiologic Associates | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Matthew P Beatty | Emergency Medicine | Los Robles Emergency Physicians Medical Group | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Find all physicians in zip 91360 | |||
| City | THOUSAND OAKS |
| Zip Code | 91360 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | THOUSAND OAKS + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Kathleen Anderson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.