DR. PAULINE MARIE ANDERSON D.C., CCSP, I.D.E
NPI 1396763470
Chiropractor - Sports Physician in Campbell, CA

Q: What is Pauline Anderson's NPI number?

The NPI number for Pauline Anderson is 1396763470. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Pauline Anderson's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Q: When was this NPI record last updated?

The NPPES record for Pauline Anderson was last updated on July 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 17, 2006

125 E. SUNNYOAKS AVE, STE 213, CAMPBELL, CA 95008(408) 558-7998(408) 864-2051 Get Directions Write a Review

NPPES record last updated: July 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Pauline Marie Anderson D.c., Ccsp, I.d.e NPPES

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

DR. PAULINE MARIE ANDERSON D.C., CCSP, I.D.E (NPI 1396763470) is an individual sports physician in Campbell, California, licensed in California (20898) and active in the NPI registry since July 2006. She is a graduate of Palmer College Chiropractic - West Sunnyvale (1990).

NPPES Registry Identity

NPI1396763470

Entity TypeIndividualFemale

Primary Taxonomy111NS0005X

Provider Legal NameDR. PAULINE MARIE ANDERSONCredential: D.C., CCSP, I.D.E

Location Address125 E. SUNNYOAKS AVE, STE 213Campbell, CA 95008-6639

Mailing Address125 E. Sunnyoaks Ave, Ste 213Campbell, CA 95008-6639 · (408) 558-7998 · Fax (408) 864-2051

Phone(408) 558-7998

Fax(408) 864-2051

Sole ProprietorYes

Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 1990

Enumeration DateJuly 17, 2006

Last NPPES UpdateJuly 26, 2012

✔ NPI 1396763470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in CA · 20898

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

125 E. SUNNYOAKS AVE, Campbell, CA 95008

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Other Identifiers 2

Medicare ID-Type UnspecifiedDCO208980CA

Medicare UPINU39582CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pauline Marie Anderson D.c., Ccsp, I.d.e is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496814063

PECOS Enrollment IDI20081111000764

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

74 services13 patients

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 Pauline Anderson's NPI number?

The NPI number for Pauline Anderson is 1396763470. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Pauline Anderson located?

Pauline Anderson practices at 125 E. Sunnyoaks Ave Ste 213, Campbell, CA 95008. The listed phone number is (408) 558-7998.

What is Pauline Anderson's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Pauline Anderson enrolled in Medicare?

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

What insurance does Pauline Anderson accept?

Health plans from Providence Health Plan list Pauline Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pauline Anderson was last updated on July 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.