Mitchell Paul Anderson
Physical Medicine & Rehabilitation, Sports Medicine in French Camp, CA. Individual provider (NPI-1).
NPI number1962030718
StatusActive
Last updated in NPPESDec 30, 2025
Details
- NPI
- 1962030718
- Entity type
- Individual (NPI-1)
- Name
- Mitchell Paul Anderson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2020
- Certification date
- Dec 30, 2025
- Last updated
- Dec 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - PHYSICAL MEDICINE AND REHABILITAT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081S0010X | Physical Medicine & Rehabilitation, Sports Medicine | A176484 | CA | Yes |
Practice location
6505 S Manthey RdFrench Camp, CA 95231-9518
Phone 800-382-8387
Mailing address
6505 S Manthey RdFrench Camp, CA 95231-9518
Phone 800-382-8387
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