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TERESA ANDERSON P.A.
NPI 1215205091
Physician Assistant - Medical in Diamond Bar, CA

Active since December 07, 2011PECOS Enrolled
1200 S DIAMOND BAR BLVD STE 201, DIAMOND BAR, CA 91765(909) 860-7600 Get Directions Write a Review

NPPES record last updated: December 7, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Teresa Anderson P.a. NPPES

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

TERESA ANDERSON P.A. (NPI 1215205091) is an individual medical provider in Diamond Bar, California, licensed in California (PA11830) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215205091
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTERESA ANDERSONCredential: P.A.
Location Address1200 S DIAMOND BAR BLVD STE 201Diamond Bar, CA 91765-2298
Mailing AddressPo Box 15807Beverly Hills, CA 90209-1807 · (909) 860-7600 · Fax (909) 860-7460
Phone(909) 860-7600
Sole ProprietorYes
Enumeration DateDecember 7, 2011
✔ NPI 1215205091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA11830
1200 S DIAMOND BAR BLVD STE 201, Diamond Bar, CA 91765
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Anderson P.a. 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

What is Teresa Anderson's NPI number?

The NPI number assigned to this healthcare provider is 1215205091, enumerated as an "individual" on December 07, 2011.

Where is the provider located?

The provider is located at 1200 S DIAMOND BAR BLVD STE 201 DIAMOND BAR, CA 91765 and the phone number is (909) 860-7600.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.