Healthcare Provider Details

I. General information

NPI: 1659782100
Provider Name (Legal Business Name): JAMIE ELIZABETH ANDERSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2014
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2335 STOCKTON BLVD FL 5
SACRAMENTO CA
95817-2201
US

IV. Provider business mailing address

UC DAVIS DEPARTMENT OF SURGERY 2335 STOCKTON BLVD., 5TH FLOOR
SACRAMENTO CA
95817-2201
US

V. Phone/Fax

Practice location:
  • Phone: 916-703-4473
  • Fax: 916-734-5633
Mailing address:
  • Phone: 916-703-4473
  • Fax: 916-734-5633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberA140553
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: