DR. JON E. ANDERSON (MD) – Diagnostic Radiology Physician, NPI 1285682377
Diagnostic Radiology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,800 DIAGNOSTIC RADIOLOGY in CA
Provider Addresses for DR. JON E. ANDERSON (MD)
1100 Marshall Way
Placerville, CA 956676533
Phone: (530) 626-2613
Type: Location
2801 Atlantic Ave
Long Beach, CA 90806
Phone: (562) 933-1550
Fax: (562) 933-8088
Type: Location
2801 ATLANTIC AVE
LONG BEACH, CA 90806
Phone: (562) 933-1550
Fax: (562) 933-8088
Type: Mailing
801, Dixie Avenue, Leesburg, Lake County, Florida, 34748, United States
SUITE 104
LEESBURG, FL 347487600
Phone: (352) 365-2583
Fax: (352) 728-6749
Type: Location
734, North 3rd Street, Leesburg, Lake County, Florida, 34748, United States
SUITE 115
LEESBURG, FL 347485285
Phone: (352) 365-2583
Fax: (352) 728-6749
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-09-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240918003728 | I | Diagnostic Radiology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95667)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| Radiation Oncology | GA | |
| Diagnostic Radiology | CA | |
| Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology, Interventional Radiology | VA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | AR | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology, Interventional Radiology | CA |
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