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

Carly Anderson

Individual provider Physician Assistant · NPI 1063284511

Carly Anderson is a Physician Assistant in Vallejo, California. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

1310 Club Dr
Vallejo, CA 94592-1187
Phone: (707) 638-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1063284511
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 27, 2023
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023
Mailing address141 Skyway Dr, Vallejo, CA 94591-4026

Other providers in Vallejo