ANGEL SAMUEL DE ANDA
NPI 1073277240
Rehabilitation Practitioner in Concord, CA

Q: What is Angel De Anda's NPI number?

The NPI number for Angel De Anda is 1073277240. It was assigned to this individual provider in the NPPES registry on October 25, 2021.

Q: What is Angel De Anda's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Q: When was this NPI record last updated?

The NPPES record for Angel De Anda was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 25, 2021

1848 WILLOW PASS RD STE 207, CONCORD, CA 94520(530) 265-9057(530) 292-3803 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2025, May 8, 2023 (2 updates tracked since 2023).

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About Angel Samuel De Anda NPPES

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

ANGEL SAMUEL DE ANDA (NPI 1073277240) is an individual rehabilitation practitioner in Concord, California and active in the NPI registry since October 2021. He maintains a secondary practice location in Nevada City.

NPPES Registry Identity

NPI1073277240

Entity TypeIndividualMale

Primary Taxonomy225400000X

Provider Legal NameANGEL SAMUEL DE ANDA

Location Address1848 WILLOW PASS RD STE 207Concord, CA 94520-2542

Mailing Address24077 State Highway 49Nevada City, CA 95959-8519 · (530) 265-9057

Phone(530) 265-9057

Fax(530) 292-3803

Sole ProprietorNo

Enumeration DateOctober 25, 2021

Last NPPES UpdateApril 18, 20252 updates tracked since enumeration

NPPES CertifiedApril 18, 2025

✔ NPI 1073277240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

1848 WILLOW PASS RD STE 207, Concord, CA 94520

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Secondary Practice Location 1

Location 124077 State Highway 49Nevada City, CA 95959-8519 · Phone (530) 265-9057

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.

AMAAD HUSAIN SALEEMI

Day Training/Habilitation Specialist