DR. ZACHARY DAVID KARJALA ANDERSON DO, MS
NPI 1629604699
Student in an Organized Health Care Education/Training Program in Santa Rosa, CA

Active since March 20, 2020PECOS EnrolledAccepts Medicare Assignment
401 BICENTENNIAL WAY STE 110, SANTA ROSA, CA 95403(707) 393-4000 Get Directions Write a Review

NPPES record last updated: March 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Zachary David Karjala Anderson Do, Ms NPPES

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

DR. ZACHARY DAVID KARJALA ANDERSON DO, MS (NPI 1629604699) is an individual student in an organized health care education/training program in Santa Rosa, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Touro Un College Of Osteopathic Medicine, Vallejo (2020).

NPPES Registry Identity

NPI1629604699
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ZACHARY DAVID KARJALA ANDERSONCredential: DO, MS
Location Address401 BICENTENNIAL WAY STE 110Santa Rosa, CA 95403-2149
Mailing Address401 Bicentennial Way Ste 110Santa Rosa, CA 95403-2149 · (707) 393-4000
Sole ProprietorYes
Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2020
Enumeration DateMarch 20, 2020
NPPES CertifiedMarch 20, 2020
NPI 1629604699 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.
401 BICENTENNIAL WAY STE 110, Santa Rosa, CA 95403

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

Dr. Zachary David Karjala Anderson Do, Ms 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 ID3577942945
PECOS Enrollment IDI20230801003350
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 5

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

Student in an Organized Health Care Education/Training Program
401 BICENTENNIAL WAY STE 110
SANTA ROSA, CA 95403
Student in an Organized Health Care Education/Training Program
401 BICENTENNIAL WAY STE 110
SANTA ROSA, CA 95403
Student in an Organized Health Care Education/Training Program
401 BICENTENNIAL WAY STE 110
SANTA ROSA, CA 95403
Family Medicine
401 BICENTENNIAL WAY STE 110
SANTA ROSA, CA 95403
Student in an Organized Health Care Education/Training Program
401 BICENTENNIAL WAY STE 110
SANTA ROSA, CA 95403

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 Zachary Anderson's NPI number?

The NPI number for Zachary Anderson is 1629604699. It was assigned to this individual provider in the NPPES registry on March 20, 2020.

Where is Zachary Anderson located?

Zachary Anderson practices at 401 Bicentennial Way Ste 110, Santa Rosa, CA 95403. The listed phone number is (707) 393-4000.

What is Zachary Anderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Zachary Anderson enrolled in Medicare?

Yes. Zachary 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 Zachary Anderson was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.