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

Teresa Anderson, PA

Individual provider Medical Physician Assistant · NPI 1215205091

Teresa Anderson, PA is a Physician Assistant in Diamond Bar, California. Qualified in 1985, 41 years ago. Practices with Lakeside Medical Organization a Medical Group Inc, a 65-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
41
Licensed in
CA
In the registry since
2011
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

1200 S Diamond Bar Blvd Ste 201
Diamond Bar, CA 91765-2298
Phone: (909) 860-7600
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA11830 (CA)

Record details

NPI number1215205091
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedDecember 7, 2011
Last updated in NPPESDecember 7, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Lakeside Medical Organization A Medical Group Inc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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