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JUSTIN BENTLEY ANDERSON PA-C
NPI 1487924007
Physician Assistant - Surgical in Newport Beach, CA

Active since January 12, 2012PECOS EnrolledAccepts Medicare Assignment
22 CORPORATE PLAZA DR, NEWPORT BEACH, CA 92660(949) 722-7038(949) 630-4900 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justin Bentley Anderson Pa-c NPPES

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

JUSTIN BENTLEY ANDERSON PA-C (NPI 1487924007) is an individual surgical provider in Newport Beach, California, licensed in California (PA21823) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1487924007
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJUSTIN BENTLEY ANDERSONCredential: PA-C
Location Address22 CORPORATE PLAZA DRNewport Beach, CA 92660-7985
Mailing Address22 Corporate Plaza DrNewport Beach, CA 92660-7985 · (949) 722-7038 · Fax (949) 630-4900
Phone(949) 722-7038
Fax(949) 630-4900
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 12, 2012
Last NPPES UpdateNovember 29, 2021
✔ NPI 1487924007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · PA21823
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA21823 (CA)
22 CORPORATE PLAZA DR, Newport Beach, CA 92660
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Other Identifiers 1

OtherFT736YCA · Ptan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Bentley Anderson Pa-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 ID2466619036
PECOS Enrollment IDI20120817000117
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.

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.

ANDEE MONTERONE
Specialist/Technologist (Athletic Trainer)
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 722-7038
CONNIE OH MD
Internal Medicine (Sports Medicine)
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 722-7038
ORTHOPEDIC INSTITUTE OF NEWPORT BEACH LIMITED PARTNERSHIP
Durable Medical Equipment & Medical Supplies
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 722-7038
MRS. LINDSAY HALL BAUMHEFNER PA-C
Physician Assistant (Medical)
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 722-7038
MRS. CAMILLE LAUREN BRAY PA-C
Physician Assistant
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 722-7038
MRS. WENDY DELGADO PA-C
Physician Assistant (Medical)
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 722-7038
DR. TAYLOR DUNPHY M.D.
Orthopaedic Surgery
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 722-7038
ALAN HARRIS BEYER M.D.
Orthopaedic Surgery (Sports Medicine)
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 722-7038

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 Justin Anderson's NPI number?

The NPI number for Justin Anderson is 1487924007. It was assigned to this individual provider in the NPPES registry on January 12, 2012.

Where is Justin Anderson located?

Justin Anderson practices at 22 Corporate Plaza Dr, Newport Beach, CA 92660. The listed phone number is (949) 722-7038.

What is Justin Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Justin Anderson enrolled in Medicare?

Yes. Justin 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.

When was this NPI record last updated?

The NPPES record for Justin Anderson was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.