JOSEPH MICHAEL ANDERSON M.D. NPI 1003002494

Pathology (Anatomic Pathology) in San Rafael, CA

About JOSEPH ANDERSON

Joseph Anderson is a provider in San Rafael, CA. The NPI number assigned to this provider is 1003002494. The practitioner's primary taxonomy code is Pathology (207ZP0101X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003002494 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name JOSEPH MICHAEL ANDERSON M.D.
Provider Location Address802 B ST SAN RAFAEL, CA 94901 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address802 B ST SAN RAFAEL, CA 94901 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-19-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-19-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

JOSEPH MICHAEL ANDERSON M.D.
802 B ST
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 734-8726
Fax: (415) 762-4220
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Mailing Address

JOSEPH MICHAEL ANDERSON M.D.
802 B ST
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 734-8726
Fax: (415) 762-4220

Primary Taxonomy

Taxonomy Code207ZP0101X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPathology
TypeAllopathic & Osteopathic Physicians
SpecializationAnatomic Pathology
License No.A98379
License StateCA
Taxonomy DescriptionA pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
H87624MEDICARE UPIN (02)

Map Location


JOSEPH MICHAEL ANDERSON M.D. address is 802 B ST SAN RAFAEL, CA 94901

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053507442NORTHERN CALIFORNIA UROPATHOLOGY PC
Organization
Clinical Medical Laboratory802 B ST
SAN RAFAEL, CA 94901
(415) 734-8726