Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Anderson, PA

Individual provider Physician Assistant · NPI 1790456036

Benjamin Anderson, PA is a Physician Assistant in Stanford, California. Graduated from Emory University School of Medicine in 2022, 4 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Years since qualifying
4
Trained at
Emory University School of Medicine
Licensed in
CA
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 497-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 725 Welch Rd, Palo Alto, CA 94304-1601 — (650) 497-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 66196 (CA)

Record details

NPI number1790456036
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 27, 2021
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address300 Pasteur Dr, Stanford, CA 94305-2200

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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