JOSEPH MICHAEL ANDERSON M.D. NPI 1003002494

Pathology (Anatomic Pathology) in San Rafael, CA

Individual Male Pathology Anatomic Pathology

About JOSEPH ANDERSON

Joseph Anderson is a provider established in San Rafael, California and his medical specialization is pathology. The NPI number of Joseph Anderson is 1003002494 and was assigned on September 2007. The practitioner's primary taxonomy code is 207ZP0101X with license number A98379 (CA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI

1003002494

Provider Name JOSEPH MICHAEL ANDERSON M.D.
Provider Location Address802 B ST SAN RAFAEL, CA 94901
Provider Mailing Address802 B ST SAN RAFAEL, CA 94901
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-19-2007
Last Update Date09-19-2007

Primary Taxonomy

Taxonomy Code207ZP0101X
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.

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

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)

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

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.