BODHI M ANDERSON PAC
NPI 1730384942
Physician Assistant in San Francisco, CA

Q: What is Bodhi Anderson's NPI number?

The NPI number for Bodhi Anderson is 1730384942. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Q: What is Bodhi Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Bodhi Anderson was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 June 18, 2007

1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111(415) 578-3100(415) 252-7176 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 17, 2025, Feb 9, 2024, Feb 16, 2023 and 1 more (4 updates tracked since 2020).

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About Bodhi M Anderson Pac NPPES

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

BODHI M ANDERSON PAC (NPI 1730384942) is an individual physician assistant in San Francisco, California, licensed in Massachusetts (PA5215) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1730384942

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBODHI M ANDERSONCredential: PAC

Location Address1 EMBARCADERO CTR STE 1900San Francisco, CA 94111-3723

Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791 · Fax (415) 520-0904

Phone(415) 578-3100

Fax(415) 252-7176

Sole ProprietorNo

Enumeration DateJune 18, 2007

Last NPPES UpdateApril 24, 20254 updates tracked since enumeration

NPPES CertifiedApril 24, 2025

✔ NPI 1730384942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in MA · PA5215✔ Licensed in NC · 0010-06494✔ Licensed in CA · 52038✔ Licensed in AZ · 5824✔ Licensed in TX · PA17980

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 52038 (CA), AMD-416 (HI), PA5215 (MA), 5824 (AZ), 018111 (NY), 085.005337 (IL), PA031084 (DC)

1 EMBARCADERO CTR STE 1900, San Francisco, CA 94111

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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.

ALAN JOHNSTONE FNP

Nurse Practitioner (Family)