Healthcare Provider Details

I. General information

NPI: 1811842339
Provider Name (Legal Business Name): THOMAS R. ANDERSON INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 ROLLING OAKS DR
THOUSAND OAKS CA
91361-1011
US

IV. Provider business mailing address

2812 VERDE VISTA DR
SANTA BARBARA CA
93105-3033
US

V. Phone/Fax

Practice location:
  • Phone: 425-753-9227
  • Fax: 425-753-9227
Mailing address:
  • Phone: 425-753-9227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS ANDERSON
Title or Position: PRESIDENT
Credential:
Phone: 425-753-9227