Carly Anderson, - Physician Assistant in Vallejo, CA

Carly Anderson, is a Physician Assistant based in Vallejo, California. Carly Anderson is licensed to practice in * (Not Available) (license number ) and her current practice location is 1310 Club Dr, Vallejo, California. She can be reached at her office (for appointments etc.) via phone at (707) 638-5200.

NPI number for Carly Anderson is 1063284511 and her current mailing address is 141 Skyway Dr, Vallejo, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063284511.

Contact Information

Carly Anderson,
1310 Club Dr,
Vallejo, CA 94592-1187
(707) 638-5200
Not Available



Provider's Profile

Full NameCarly Anderson
GenderFemale
SpecialityPhysician Assistant
Location1310 Club Dr, Vallejo, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063284511
  • Provider Enumeration Date: 10/27/2023
  • Last Update Date: 10/27/2023

Medical Identifiers

Medical identifiers for Carly Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063284511NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carly Anderson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carly Anderson,
141 Skyway Dr,
Vallejo, CA 94591-4026

Ph: () -
Carly Anderson,
1310 Club Dr,
Vallejo, CA 94592-1187

Ph: (707) 638-5200

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Physician Assistant Nurses in Vallejo, CA

Ms. Virginia Jean Hens-piazza, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 243 Georgia Street, Suite B, Vallejo, CA 94590
Phone: 707-556-8100    Fax: 707-556-8107
Thao-vy Thi Tran,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1310 Club Dr, Vallejo, CA 94592
Phone: 707-638-5200    
Christian Joseph Garia, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1310 Club Dr, Vallejo, CA 94592
Phone: 707-638-5809    
Margaret Malig Nonato, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2290 Sacramento St, Vallejo, CA 94590
Phone: 707-643-5785    Fax: 707-643-8810
John Howard Alexander, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2290 Sacramento St, Vallejo, CA 94590
Phone: 707-643-5785    Fax: 707-643-8810
Austin Joe Willis,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1310 Club Dr, Vallejo, CA 94592
Phone: 707-638-5809    
Mayanka Barath,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1310 Club Dr, Vallejo, CA 94592
Phone: 707-638-5809    

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