Kerry S Anderson (NPI# 1851404628, PAC ID# 8921250671) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1851404628 |
| PAC ID by PECOS | 8921250671 |
| Professional Enrollment ID | I20121205000054 |
| Full Name | Kerry S Anderson |
| Organization Legal Name | PRIMIGENIA OPTOMETRY INC |
| Address |
14461 Merced Ave Baldwin Park CA 91706-5173 |
| Phone Number | 6269394588 |
| Gender | M |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 1991 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1951553601 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 14461 Merced Ave, Baldwin Park, CA 91706-5173 | 6269394588 | PRIMIGENIA OPTOMETRY INC |
| 14461 Merced Ave, Suite 101, Baldwin Park, CA 91706-5173 | 6269394588 | PRIMIGENIA OPTOMETRY INC |
| Organization Legal Name | PRIMIGENIA OPTOMETRY INC |
| Physicians | 1 |
| Street Address |
14461 MERCED AVE |
| City | BALDWIN PARK |
| State | CA |
| Zip | 91706-5173 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mia Hung | Optometry | 14461 Merced Ave, Suite 101, Baldwin Park, CA 91706-5173 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Atonis Pax | General Practice | Healthpointe Medical Group, Inc. | 5345 Irwindale Ave, Irwindale, CA 91706-2025 |
| Veronica Diaz | Chiropractic | 14332 Ramona Blvd, Baldwin Park, CA 91706-3241 | |
| Jaime E Vivas | Nurse Practitioner | 14362 Ramona Blvd, Baldwin Park, CA 91706-3241 | |
| Amado D Mandani | General Practice | 14338 Ramona Blvd, Baldwin Park, CA 91706-3241 | |
| Herman F Carrillo | General Practice | 14342 Ramona Blvd, Baldwin Park, CA 91706-3241 | |
| Daniel T Martinez | Optometry | Daniel T. Martinez O.d., Inc. | 14319 Ramona Blvd, Baldwin Park, CA 91706-3242 |
| Syam P Gaddam | Gastroenterology | Digestive and Liver Disease Specialists A Medical Group Inc | 14307 Ramona Blvd, Baldwin Park, CA 91706-3242 |
| Ravindra Alapati | Gastroenterology | Digestive and Liver Disease Specialists A Medical Group Inc | 14307 Ramona Blvd, Baldwin Park, CA 91706-3242 |
| Jyh C Chang | Internal Medicine | Jyh C. Chang Md, Professional Corp. | 4318 Maine Ave A, Baldwin Park, CA 91706-3326 |
| Victoria N Chen | Internal Medicine | Jyh C. Chang Md, Professional Corp. | 4318 Maine Ave A, Baldwin Park, CA 91706-3326 |
| Find all physicians in zip 91706 | |||
| City | BALDWIN PARK |
| Zip Code | 91706 |
| Specialty | OPTOMETRY |
| City + Specialty | BALDWIN PARK + OPTOMETRY |
Please comment or provide details below to improve the information on Kerry S 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.