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JACK ANDERSON
NPI 1982254603
Technician - Attendant Care Provider in Victorville, CA

Active since September 14, 2019
14810 LA MESA RD, VICTORVILLE, CA 92392(760) 951-0510 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 25, 2019, Sep 14, 2019 (2 updates tracked since 2019).

About Jack Anderson NPPES

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

JACK ANDERSON (NPI 1982254603) is an individual attendant care provider provider in Victorville, California and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1982254603
Entity TypeIndividualMale
Primary Taxonomy3747A0650X
Provider Legal NameJACK ANDERSON
Location Address14810 LA MESA RDVictorville, CA 92392-8639
Mailing Address14810 La Mesa RdVictorville, CA 92392-8639 · (760) 951-0510
Phone(760) 951-0510
Sole ProprietorYes
Enumeration DateSeptember 14, 2019
Last NPPES UpdateSeptember 25, 20192 updates tracked since enumeration
✔ NPI 1982254603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
14810 LA MESA RD, Victorville, CA 92392
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Other Providers at the Same Location NPPES

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

VERDELLE ANDERSON
Technician (Attendant Care Provider)
14810 LA MESA RD
VICTORVILLE, CA 92392
San Bernardino County (760) 951-0510

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 Jack Anderson's NPI number?

The NPI number for Jack Anderson is 1982254603. It was assigned to this individual provider in the NPPES registry on September 14, 2019.

Where is Jack Anderson located?

Jack Anderson practices at 14810 La Mesa Rd, Victorville, CA 92392. The listed phone number is (760) 951-0510.

What is Jack Anderson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Jack Anderson was last updated on September 25, 2019. 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.