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

Justin Michael Anderson, PA-C

Individual provider Physician Assistant · NPI 1366105074

Justin Michael Anderson, PA-C is a Physician Assistant in San Diego, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3030 Childrens Way
San Diego, CA 92123-4232
Phone: (858) 966-6789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60229 (CA)

Record details

NPI number1366105074
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 19, 2021
Last updated in NPPESFebruary 18, 2022
Certification dateFebruary 18, 2022

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