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NPI 1770708554 · live from the CMS NPI Registry

Samuel Dee Anderson, M.D.

Anesthesiology in San Ramon, CA. National Provider Identifier 1770708554, active.

NPI record

NPI1770708554 Type 1 · individual
StatusActive
Primary specialtyAnesthesiology 207L00000X
Practice location2420 Camino Ramon, Ste. 270, San Ramon, CA 94583
Practice phone925-543-0141
Mailing addressPo Box 603484, Charlotte, NC 28260
EnumeratedApril 16, 2007
Last updatedApril 29, 2024
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine207R00000XA98380 (CA)
Anesthesiology primary207L00000XA98380 (CA)
Anesthesiology207L00000X232721 (MA)
Internal Medicine207R00000X232721 (MA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.