MEDICARE: DR. GAIL A ANDERSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	G35336	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00G353360	OTHER	CA	MEDICARE PTAN NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346233822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GAIL A ANDERSON M.D.

Provider Business Mailing Address
First Line	:	2080 MAPLE GLEN RD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95864-1638
Country	:	US
Telephone Number	:	916-485-3636
Fax Number	:

Provider Business Practice Location Address
First Line	:	2080 MAPLE GLEN RD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95864-1638
Country	:	US
Telephone Number	:	916-485-3636
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	04/03/2013

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Directions to “ DR. GAIL A ANDERSON M.D.” Practice Location

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