NANCY ANDERSON (M.D.) – Dermatology Physician, NPI 1710091806

NANCY ANDERSON (M.D.) is a healthcare provider. based in Los angeles, California. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. G34769 (CA). The NPI Number for NANCY ANDERSON (M.D.) is 1710091806

Main info

Female
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
NANCY ANDERSON (M.D.)
NPI
1710091806
Phone
(909) 558-3111
Address
54701 FILE NUMBER
Enumeration Date
18 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9095582828
Graduation Year
1976 (50 years ago)
PAC ID
3779654363
Group Practice PAC ID
1153227814
Professional Enrollment ID
I20080625000736
Address ID
CA923543899LO25845RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,141 DERMATOLOGY in CA

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Provider Addresses for NANCY ANDERSON (M.D.)

  • 54701 FILE NUMBER

    LOS ANGELES, CA 900744701

    Phone: (909) 558-3111

    Type: Mailing

  • 11370, Anderson Street, Loma Linda, San Bernardino County, California, 92354, United States

    STE 2600

    LOMA LINDA, CA 923543450

    Phone: (909) 558-2055

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 78 Open Payments records for all available years, with a total value of $73,563.

Total Amount is formed as General ($73,563) + Research ($0) + Ownership ($0) = $73,563.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Amgen Inc. ($34,044).

Total Amount

$73,563

General + Research + Ownership

Payments

78

Total payment records

General Amount

$73,563

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-06-25

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080625000736IDermatologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths913143$0
99214Established patient office or other outpatient visit, 30-39 minutes298175$0
17000Destruction of precancer skin growth, 1 growth289169$0
17110Destruction of skin growth, 1-14 growths240162$0
99213Established patient office or other outpatient visit, 20-29 minutes213152$0
View full utilization report →

Insurance plans in this area (ZIP 90074)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153227814View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm NANCY ANDERSON (M.D.)'s NPI?
Yes. NANCY ANDERSON (M.D.) is listed with NPI 1710091806 in the public NPI dataset.
Does the file indicate NANCY ANDERSON (M.D.) is practicing under active NPI?
Directory data currently reports NANCY ANDERSON (M.D.) as active.
What is NANCY ANDERSON (M.D.) best known for clinically?
Directory data describes NANCY ANDERSON (M.D.) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect NANCY ANDERSON (M.D.) on a map?
Expect Los Angeles, California as a primary anchor for NANCY ANDERSON (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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