DEVON ANDERSON MD
NPI 1538797352
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since March 28, 2020PECOS Enrolled
2335 STOCKTON BLVD, 5TH FLOOR, SACRAMENTO, CA 95817(916) 734-2724 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 28, 2021, Mar 28, 2020 (2 updates tracked since 2020).

About Devon Anderson Md NPPES

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

DEVON ANDERSON MD (NPI 1538797352) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538797352
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDEVON ANDERSONCredential: MD
Location Address2335 STOCKTON BLVD, 5TH FLOORSacramento, CA 95817
Mailing Address2335 Stockton Blvd, 5th FloorSacramento, CA 95817 · (916) 734-2724
Sole ProprietorNo
Enumeration DateMarch 28, 2020
Last NPPES UpdateApril 28, 20212 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
NPI 1538797352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2335 STOCKTON BLVD, Sacramento, CA 95817

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Devon Anderson Md 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.

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.

Surgery (Plastic and Reconstructive Surgery)
2335 STOCKTON BLVD, 6TH FLOOR, 6011-3
SACRAMENTO, CA 95817
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2335 STOCKTON BLVD, 6TH FLOOR
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2335 STOCKTON BLVD, NORTH ADDITION, 5TH FLOOR
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2335 STOCKTON BLVD, NORTH ADDITION 5TH FLOOR
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2335 STOCKTON BLVD
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2335 STOCKTON BLVD, NORTH ADDITION, 5TH FLOOR
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2335 STOCKTON BLVD, NORTH ADDITION 5TH FLOOR
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2335 STOCKTON BLVD
SACRAMENTO, CA 95817

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538797352, enumerated as an "individual" on March 28, 2020.

The provider is located at 2335 STOCKTON BLVD 5TH FLOOR SACRAMENTO, CA 95817 and the phone number is (916) 734-2724.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.