RUSSELL N ANDERSON, D.C. — NPI 1619175288 (Licensed & Credentialed Chiropractic Providers — Chiropractor, Independent Medical Examiner in TEHACHAPI, CA)

CMS-1500 Box 24J / 33a • NPI

1619175288

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

111NI0013X (CMS 35)

Licensed & Credentialed Chiropractic Providers — Chiropractor, Independent Medical Examiner

Box 32 Service Location & ZIP+4

20825 SOUTH ST, SUITE A, TEHACHAPI, CA, 93561-6438

✓ 9-Digit EDI 837 ZIP+4 (93561-6438)

Practice Phone & Referral Fax

(661) 205-5373

Fax: (661) 823-7483

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619175288 (RUSSELL N ANDERSON, D.C.) 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	`1619175288` (NPI-1 Individual Practitioner)
Provider / Legal Name	RUSSELL N ANDERSON, D.C.
Plain-English Specialty	Licensed & Credentialed Chiropractic Providers — Chiropractor, Independent Medical Examiner NUCC Code: `111NI0013X` (Chiropractor, Independent Medical Examiner)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	20825 SOUTH ST, SUITE A, TEHACHAPI, CA, 93561-6438
Practice Telephone / Fax	Tel: (661) 205-5373 \| Fax: (661) 823-7483
Administrative Mailing Address	20825 SOUTH ST, TEHACHAPI, CA, 93561-6438
Enumeration & Last Sync	Enumerated: 2007-07-05 \| CMS Record Updated: 2009-12-07

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

20825 SOUTH ST, SUITE A, TEHACHAPI, CA, 93561-6438

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Plain-English Taxonomy & CMS Crosswalk (111NI0013X)

What Does Taxonomy Code 111NI0013X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NI0013X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor, Independent Medical Examiner"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Chiropractor, Independent Medical Examiner for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (RUSSELL N ANDERSON, D.C.)

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
`111NI0013X` — Chiropractor, Independent Medical Examiner Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Independent Medical Examiner	State: CA \| License: `20106` \| Primary: Yes (Primary)
`111NI0013X` — Chiropractor, Independent Medical Examiner Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Independent Medical Examiner	State: NV \| License: `B-866` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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RUSSELL N ANDERSON, D.C. (NPI #1619175288)