DAVID J ANDERSON MD
NPI 1780613380
Internal Medicine - Cardiovascular Disease in Oakland, CA

Q: What is David Anderson's NPI number?

The NPI number for David Anderson is 1780613380. It was assigned to this individual provider in the NPPES registry on July 3, 2006. The provider is also known as David Jarvis Anderson MD.

Q: What is David Anderson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for David Anderson was last updated on March 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 03, 2006PECOS Enrolled

365 HAWTHORNE AVE, #201, OAKLAND, CA 94609(510) 452-1345(510) 452-1102 Get Directions Write a Review

NPPES record last updated: March 1, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About David J Anderson Md NPPES

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

DAVID J ANDERSON MD (NPI 1780613380) is an individual cardiovascular disease provider in Oakland, California, licensed in California (G41509) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780613380

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDAVID J ANDERSONCredential: MD

Location Address365 HAWTHORNE AVE, #201Oakland, CA 94609-3107

Mailing Address365 Hawthorne Ave, #201Oakland, CA 94609 · (510) 452-1345 · Fax (510) 452-1102

Phone(510) 452-1345

Fax(510) 452-1102

Sole ProprietorNo

Enumeration DateJuly 3, 2006

Last NPPES UpdateMarch 1, 2018

✔ NPI 1780613380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in CA · G41509

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License G41509 (CA)

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License G41509 (CA)

365 HAWTHORNE AVE, Oakland, CA 94609

Open in Google Maps ↗

Other Names 1

Other Name (5)David Jarvis Anderson Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David J 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.

Medicare Billing Reassignment

Medicare enrollment records show David Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Knd Development 59, LLC

10 mi

Hospitalist

2800 BENEDICT DR
San Leandro, CA 94577

Reassigned Medicare billing, California enrollment
204 clinicians in this Medicare group

NPI 1235468562 (510) 357-8300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MR. HON FONG MD

Obstetrics & Gynecology (Gynecology)

365 HAWTHORNE AVE, SUITE 301
OAKLAND, CA 94609

Alameda County (510) 893-1700

ERIC L JOHNSON MD

Internal Medicine (Interventional Cardiology)

365 HAWTHORNE AVE, #201
OAKLAND, CA 94609

Alameda County (510) 452-1345

AARON PETERS PA-C

Physician Assistant (Surgical)

365 HAWTHORNE AVE
OAKLAND, CA 94609

Alameda County (510) 465-5523

AJAY KUMAR UPADHYAY MD

Surgery

365 HAWTHORNE AVE, STE 101
OAKLAND, CA 94609

Alameda County (510) 465-5523

RUPERT ROUPEN HOROUPIAN MD

Surgery

365 HAWTHORNE AVE, SUITE 101
OAKLAND, CA 94609

Alameda County (510) 465-5523

MR. THOMAS LEE HAMBRICK MD

Obstetrics & Gynecology

365 HAWTHORNE AVE, SUITE 301
OAKLAND, CA 94609

Alameda County (510) 893-1700

MR. EDWARD MARTIN BLUMENSTOCK MD

Obstetrics & Gynecology

365 HAWTHORNE AVE, STE 301
OAKLAND, CA 94609

Alameda County (510) 893-1700

MS. GOLDEE HANNAH GROSS MD

Obstetrics & Gynecology

365 HAWTHORNE AVE, STE 301
OAKLAND, CA 94609

Alameda County (510) 893-1700

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 David Anderson's NPI number?

The NPI number for David Anderson is 1780613380. It was assigned to this individual provider in the NPPES registry on July 3, 2006. The provider is also known as David Jarvis Anderson MD.

Where is David Anderson located?

David Anderson practices at 365 Hawthorne Ave #201, Oakland, CA 94609. The listed phone number is (510) 452-1345.

What is David Anderson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is David Anderson enrolled in Medicare?

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

Which organization bills Medicare for David Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Anderson reassigns Medicare benefits to Knd Development 59, LLC (San Leandro, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Anderson was last updated on March 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.