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ANDREW DEAN ANDERSON MD
NPI 1992384804
General Practice in Camp Pendleton, CA

Active since April 07, 2021PECOS Enrolled
200 MERCY CIRCLE DRIVE, CAMP PENDLETON, CA 92055(909) 855-0012 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 29, 2022, Apr 7, 2021 (2 updates tracked since 2021).

About Andrew Dean Anderson Md NPPES

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

ANDREW DEAN ANDERSON MD (NPI 1992384804) is an individual general practice provider in Camp Pendleton, California, licensed in Virginia (0101275806) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992384804
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameANDREW DEAN ANDERSONCredential: MD
Location Address200 MERCY CIRCLE DRIVECamp Pendleton, CA 92055
Mailing AddressPo Box 555191Camp Pendleton, CA 92055-5191 · (909) 855-0012
Phone(909) 855-0012
Sole ProprietorNo
Enumeration DateApril 7, 2021
Last NPPES UpdateAugust 29, 20222 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
✔ NPI 1992384804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101275806
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
200 MERCY CIRCLE DRIVE, Camp Pendleton, CA 92055
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Dean 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.

Other Providers at the Same Location NPPES 2

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

MS. SHUNDA RENEE MCGINEST R.N.
Registered Nurse (Case Management)
200 MERCY CIRCLE DRIVE
OCEANSIDE, CA 92055
San Diego County (760) 725-1288
GENNADIY BIRMAN
Physician Assistant
200 MERCY CIRCLE DRIVE
CAMP PENDLETON, CA 92055
San Diego County (760) 725-1577

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 Andrew Anderson's NPI number?

The NPI number for Andrew Anderson is 1992384804. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Andrew Anderson located?

Andrew Anderson practices at 200 Mercy Circle Drive, Camp Pendleton, CA 92055. The listed phone number is (909) 855-0012.

What is Andrew Anderson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Andrew Anderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Andrew Anderson was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.