Dr Stuart Tyler Anderson, MD | |
31872 Coast Hwy, Laguna Beach, CA 92651-6773 | |
(949) 499-7192 | |
(949) 499-7137 |
Full Name | Dr Stuart Tyler Anderson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 31872 Coast Hwy, Laguna Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306869201 | NPI | - | NPPES |
00G500020 | Other | CA | BLUE SHIELD ID # |
00G500020 | Medicaid | CA | |
00G500020385 | Other | CA | CALOPTIMA ID # |
50049552 | Other | CA | RAILROAD MEDICARE ID # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | G50002 (California) | Primary |
Entity Name | Western Anesthesia Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497796320 PECOS PAC ID: 7012902216 Enrollment ID: O20040416001498 |
Entity Name | West Coast Anesthesia Inc A Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972634020 PECOS PAC ID: 0648169581 Enrollment ID: O20070623000101 |
Mailing Address | Practice Location Address |
---|---|
Dr Stuart Tyler Anderson, MD 27401 Los Altos, Suite 180, Mission Viejo, CA 92691-6316 Ph: (949) 582-9624 | Dr Stuart Tyler Anderson, MD 31872 Coast Hwy, Laguna Beach, CA 92651-6773 Ph: (949) 499-7192 |
Daniel Gregory Hancock, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 31872 Coast Hwy, Laguna Beach, CA 92651 Phone: 949-499-1311 | |
Dr. Amir Norbaksh, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1968 S Coast Hwy # 1983, Laguna Beach, CA 92651 Phone: 949-315-8008 | |
Dr. Virginia E. Mandella, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 31361 Monterey St, Laguna Beach, CA 92651 Phone: 949-499-2244 | |
Dr. Roger Townsend, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 31872 Coast Hwy, Laguna Beach, CA 92651 Phone: 949-499-7192 Fax: 949-499-7137 |