Physician Compare National (NPI:1295897908)

HEALTHCARE PROVIDER:

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1295897908
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2163546276
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100826000317
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ANDERSON
	Individual professional last name
Provider First Name	SETH
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1963
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INFECTIOUS DISEASE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INFECTIOUS DISEASE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	351 S PATTERSON AVE
	Group Practice or individual's line 1 address
City	SANTA BARBARA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	931112403
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8059673411
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050357
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GOLETA VALLEY COTTAGE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050396
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SANTA BARBARA COTTAGE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y