Jim Douglas Anderson
Neurosurgeon
23 Granite Ct
San Carlos
, California 94070-4306
Jim Douglas Anderson
Neurosurgeon
23 Granite Ct
San Carlos
, California 94070-4306
(650) 366-9401
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Jim Douglas Anderson
- 23 Granite Ct
- San Carlos, CA
- Zip : 94070-4306
- Fax : (650) 366-9401
- Phone : (415) 298-6656
Second Address
- Jim Douglas Anderson
- 23 Granite Ct
- San Carlos, CA
- Zip : 94070-4306
- Fax : (650) 366-9401
- Phone : (415) 298-6656
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | G29493 | CA |
National Provider Identifier
| NPI | 1073974473 |
|---|---|
| Provider Name | Jim Douglas Anderson |
| First Address | San Carlos, CA 94070-4306 |
| Second Address | San Carlos, CA 94070-4306 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/03/2016 |
| Last Update Date | 11/03/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G29493 | CA MEDICAL LICENCE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.