DR. MANDY MARIE ANDERSON M.D.
NPI 1982812392
Obstetrics & Gynecology in San Diego, CA

Q: What is Mandy Anderson's NPI number?

The NPI number for Mandy Anderson is 1982812392. It was assigned to this individual provider in the NPPES registry on May 18, 2007. The provider is also known as Dr. Mandy Marie Gonzalez M.D..

Q: What is Mandy Anderson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Mandy Anderson was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 18, 2007PECOS Enrolled

4077 FIFTH AVE, SAN DIEGO, CA 92103(619) 717-6667 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 10, 2024, Apr 30, 2021, Nov 4, 2020 and 4 more (7 updates tracked since 2016).

On this page

About Dr. Mandy Marie Anderson M.d. NPPES

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

DR. MANDY MARIE ANDERSON M.D. (NPI 1982812392) is an individual obstetrics & gynecology provider in San Diego, California, licensed in California (A113914) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982812392

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. MANDY MARIE ANDERSONCredential: M.D.

Location Address4077 FIFTH AVESan Diego, CA 92103-2105

Mailing AddressPo Box 600763San Diego, CA 92160-0763 · (619) 717-6667

Phone(619) 717-6667

Sole ProprietorNo

Enumeration DateMay 18, 2007

Last NPPES UpdateMay 10, 20247 updates tracked since enumeration

NPPES CertifiedMay 10, 2024

✔ NPI 1982812392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in CA · A113914✔ Licensed in TX · N7925✔ Licensed in TX · BP10025285

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4077 FIFTH AVE, San Diego, CA 92103

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Other Names 1

Former Name (1)Dr. Mandy Marie Gonzalez M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mandy Marie Anderson M.d. 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 Reassignments

Medicare enrollment records show Mandy Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centro De Salud De La Comunidad De San Ysidro,inc

0.1 mi

Federally Qualified Health Center (FQHC)

550 WASHINGTON ST STE 331
San Diego, CA 92103

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

NPI 1962177873 (619) 662-4100

Scripps Health Inpatient Providers Medical Group Inc.

10.0 mi

Multi-Specialty

9888 GENESEE AVE
La Jolla, CA 92037

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

NPI 1699043000 (858) 626-4123

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 92103 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

BRIAN BUTLER M.D.

Hospitalist

4077 FIFTH AVE
SAN DIEGO, CA 92103

San Diego County (619) 686-3935

DR. SCOT NOLAN DNP, RN, CNS

Clinical Nurse Specialist (Critical Care Medicine)

4077 FIFTH AVE
SAN DIEGO, CA 92103

San Diego County (619) 686-3595

BRIANNA ELISE LIPSEY RN, BSN

Registered Nurse (Neuroscience)

4077 FIFTH AVE
SAN DIEGO, CA 92103

San Diego County (858) 832-2478

PAUL JIN HAN M.D.

Internal Medicine

4077 FIFTH AVE, MER 35
SAN DIEGO, CA 92103

San Diego County (619) 260-7022

CHRISTIAN NGUYEN KELLY

Emergency Medicine

4077 FIFTH AVE
SAN DIEGO, CA 92103

San Diego County (619) 294-8111

LINA MOHAMMED DO

Student in an Organized Health Care Education/Training Program

4077 FIFTH AVE
SAN DIEGO, CA 92103

San Diego County (619) 260-7220

AMY MARIE SANTOS CCRN, MSN, ACNP

Nurse Practitioner (Acute Care)

4077 FIFTH AVE, TRAUMA SERVICES, MER62
SAN DIEGO, CA 92103

San Diego County (619) 260-7285

TRACIE LORRAINE GADLER NP

Nurse Practitioner (Family)

4077 FIFTH AVE
SAN DIEGO, CA 92103

San Diego County (619) 565-3892

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 Mandy Anderson's NPI number?

The NPI number for Mandy Anderson is 1982812392. It was assigned to this individual provider in the NPPES registry on May 18, 2007. The provider is also known as Dr. Mandy Marie Gonzalez M.D..

Where is Mandy Anderson located?

Mandy Anderson practices at 4077 Fifth Ave, San Diego, CA 92103. The listed phone number is (619) 717-6667.

What is Mandy Anderson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mandy Anderson enrolled in Medicare?

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

Which organizations bill Medicare for Mandy Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mandy Anderson reassigns Medicare benefits to 2 organizations: Centro De Salud De La Comunidad De San Ysidro,inc (San Diego, CA) and Scripps Health Inpatient Providers Medical Group Inc. (La Jolla, CA). Each 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 Mandy 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 Mandy Anderson was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.