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

Robert Michael Anderson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396374799

Robert Michael Anderson is a Physician Assistant in Mission Hills, California. Qualified in 2020, 6 years ago. Practices with Synergy Observation Specialists PC, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

10630 Sepulveda Blvd Ste 100
Mission Hills, CA 91345-1937
Phone: (818) 933-4440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13606 Terrace Creek Dr Apt 100, Louisville, KY 40245-4899 — (805) 551-7105

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA58379 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1396374799
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 7, 2020
Last updated in NPPESSeptember 2, 2020
Certification dateSeptember 1, 2020
Mailing address3361 Los Nogales Rd, Simi Valley, CA 93063-1102

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Synergy Observation Specialists Pc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mission Hills