JAMES S ANDERSEN, MD — NPI 1295831741 (Licensed & Credentialed Allopathic & Osteopathic Physicians

CMS-1500 Box 24J / 33a • NPI

1295831741

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

208200000X (CMS 02)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery

Box 32 Service Location & ZIP+4

625 S FAIR OAKS AVE STE 270&380, PASADENA, CA, 91105-2613

✓ 9-Digit EDI 837 ZIP+4 (91105-2613)

Practice Phone & Referral Fax

(424) 314-0177

Fax: (424) 314-0180

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1295831741 (JAMES S ANDERSEN, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1295831741` (NPI-1 Individual Practitioner)
Provider / Legal Name	JAMES S ANDERSEN, MD
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery NUCC Code: `208200000X` (Plastic Surgery)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	625 S FAIR OAKS AVE STE 270&380, PASADENA, CA, 91105-2613
Practice Telephone / Fax	Tel: (424) 314-0177 \| Fax: (424) 314-0180
Administrative Mailing Address	4140 W 190TH ST, TORRANCE, CA, 90504-5513
Enumeration & Last Sync	Enumerated: 2006-09-15 \| CMS Record Updated: 2022-06-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

625 S FAIR OAKS AVE STE 270&380, PASADENA, CA, 91105-2613

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Plain-English Taxonomy & CMS Crosswalk (208200000X)

What Does Taxonomy Code 208200000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208200000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 24 (Physician/Plastic and Reconstructive Surgery)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Plastic Surgery for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JAMES S ANDERSEN, MD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208600000X` — Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: CA \| License: `G71255` \| Primary: Secondary
`208200000X` — Plastic Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery	State: CA \| License: `G71255` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JAMES S ANDERSEN, MD (NPI #1295831741)