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MARK ARTHUR ANDERSON M.D.
NPI 1174736953
Specialist in San Jose, CA

Active since May 08, 2007PECOS Enrolled
333 O'CONNOR DR, SAN JOSE, CA 95128(408) 297-3484(408) 292-6481 Get Directions Write a Review

NPPES record last updated: September 16, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mark Arthur Anderson M.d. NPPES

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

MARK ARTHUR ANDERSON M.D. (NPI 1174736953) is an individual specialist in San Jose, California, licensed in California (G34266) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174736953
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMARK ARTHUR ANDERSONCredential: M.D.
Location Address333 O'CONNOR DRSan Jose, CA 95128
Mailing Address333 O'connor DrSan Jose, CA 95128 · (408) 297-3484 · Fax (408) 292-6481
Phone(408) 297-3484
Fax(408) 292-6481
Sole ProprietorYes
Enumeration DateMay 8, 2007
Last NPPES UpdateSeptember 16, 2013
✔ NPI 1174736953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G34266
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
333 O'CONNOR DR, San Jose, CA 95128
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Other Identifiers 2

Medicare PIN00G342660CA
Medicare UPINA45854CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Arthur Anderson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Mark Anderson's NPI number?

The NPI number for Mark Anderson is 1174736953. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Mark Anderson located?

Mark Anderson practices at 333 O'connor Dr, San Jose, CA 95128. The listed phone number is (408) 297-3484.

What is Mark Anderson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mark Anderson enrolled in Medicare?

Yes. Mark Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Anderson was last updated on September 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.