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DR. JEFFERY R ANDERSON D.C.
NPI 1205976859
Chiropractor in Modesto, CA

Active since February 06, 2007Accepts Medicare Assignment
3609 OAKDALE RD STE 5, MODESTO, CA 95357(209) 551-8888(209) 551-0412 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jeffery R Anderson D.c. NPPES

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

DR. JEFFERY R ANDERSON D.C. (NPI 1205976859) is an individual chiropractor in Modesto, California, licensed in California (23623) and active in the NPI registry since February 2007. He maintains a secondary practice location in Bakersfield and is a graduate of Life Chiropractic College (1992).

NPPES Registry Identity

NPI1205976859
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JEFFERY R ANDERSONCredential: D.C.
Location Address3609 OAKDALE RD STE 5Modesto, CA 95357
Mailing Address3609 Oakdale Rd Ste 5Modesto, CA 95357-0718 · (209) 551-8888 · Fax (209) 551-0412
Phone(209) 551-8888
Fax(209) 551-0412
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 1992
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJune 10, 2019
✔ NPI 1205976859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 23623
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3609 OAKDALE RD STE 5, Modesto, CA 95357
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Secondary Practice Location 1

Location 13900 Truxtun AveBakersfield, CA 93309-0600 · Phone (661) 322-6021 · Fax (661) 322-9313

Other Identifiers 1

Other23623CA · Ca State Lic Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffery R Anderson D.c. 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 ID4385079052
PECOS Enrollment IDI20200128000239

Medicare Billing Reassignment

Medicare enrollment records show Jeffery Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jeff Anderson Chiropractic PC
Same address
Chiropractor
3609 OAKDALE RD STE 5
Modesto, CA 95357
  • Reassigned Medicare billing, California enrollment
NPI 1225672918 (209) 551-8888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

JEFF ANDERSON CHIROPRACTIC PC
Chiropractor
3609 OAKDALE RD STE 5
MODESTO, CA 95357
Stanislaus County (209) 551-8888

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 Jeffery Anderson's NPI number?

The NPI number for Jeffery Anderson is 1205976859. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Jeffery Anderson located?

Jeffery Anderson practices at 3609 Oakdale Rd Ste 5, Modesto, CA 95357. The listed phone number is (209) 551-8888.

What is Jeffery Anderson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jeffery Anderson enrolled in Medicare?

Yes. Jeffery Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jeffery Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffery Anderson reassigns Medicare benefits to Jeff Anderson Chiropractic PC (Modesto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffery Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffery Anderson was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.