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CARLY ANDERSON
NPI 1063284511
Physician Assistant in Vallejo, CA

Active since October 27, 2023
1310 CLUB DR, VALLEJO, CA 94592(707) 638-5200 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carly Anderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY ANDERSON (NPI 1063284511) is an individual physician assistant in Vallejo, California and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1063284511
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCARLY ANDERSON
Location Address1310 CLUB DRVallejo, CA 94592-1187
Mailing Address141 Skyway DrVallejo, CA 94591-4026
Phone(707) 638-5200
Sole ProprietorYes
Enumeration DateOctober 27, 2023
NPPES CertifiedOctober 27, 2023
✔ NPI 1063284511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1310 CLUB DR, Vallejo, CA 94592
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THAO-VY THI TRAN
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5200
CARLY COLE
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
RICARDO CALIXTRO-LOPEZ
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
ASHLEY NICOLE RITUALO CHAN
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
EMILY SPAIN
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
AUSTIN JOE WILLIS
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
ANNA NUNOO
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
MAYANKA BARATH
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Anderson's NPI number?

The NPI number for Carly Anderson is 1063284511. It was assigned to this individual provider in the NPPES registry on October 27, 2023.

Where is Carly Anderson located?

Carly Anderson practices at 1310 Club Dr, Vallejo, CA 94592. The listed phone number is (707) 638-5200.

What is Carly Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Carly Anderson was last updated on October 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.