DAVID J. ANDERSON MD
NPI 1063590123
Pediatrics - Neonatal-Perinatal Medicine in Walnut Creek, CA

Q: What is David Anderson's NPI number?

The NPI number for David Anderson is 1063590123. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Q: What is David Anderson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for David Anderson was last updated on December 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment

1425 S MAIN ST, WALNUT CREEK, CA 94596(925) 295-4000 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About David J. Anderson Md NPPES

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

DAVID J. ANDERSON MD (NPI 1063590123) is an individual neonatal-perinatal medicine provider in Walnut Creek, California, licensed in California (A80948) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Pennsylvania (1997).

NPPES Registry Identity

NPI1063590123

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDAVID J. ANDERSONCredential: MD

Location Address1425 S MAIN STWalnut Creek, CA 94596-5318

Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262

Phone(925) 295-4000

Sole ProprietorNo

Medical School CMSMedical College Of PennsylvaniaGraduated 1997

Enumeration DateNovember 2, 2006

Last NPPES UpdateDecember 22, 2021

✔ NPI 1063590123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in CA · A80948

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

1425 S MAIN ST, Walnut Creek, CA 94596

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Other Identifiers 1

Medicaid00A809480CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David J. Anderson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234022856

PECOS Enrollment IDI20040205001284

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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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.

BROOK ANDREW WOOLLEY M.D.

Emergency Medicine

1425 S MAIN ST, EMERGENCY MEDICINE DEPARTMENT
WALNUT CREEK, CA 94596

Contra Costa County (925) 295-5100

DR. THOMAS CRESANTE D.O.

Hospitalist

1425 S MAIN ST, KAISER PERMANENTE WALNUT CREEK ATTN: HBS DEPT
WALNUT CREEK, CA 94596

Contra Costa County (925) 295-4643

SARA WON MD

Obstetrics & Gynecology