IndividualActive
Carly Anderson
NPI 1063284511 · Physician Assistant · Vallejo, CA
Carly Anderson is a Physician Assistant provider in Vallejo, CA (NPI 1063284511).
Provider details
- NPI number
- 1063284511
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1310 Club Dr
Vallejo, CA 94592-1187
Phone: (707) 638-5200
Approximate (ZIP-level) locationGet directions
Mailing address
141 Skyway Dr
Vallejo, CA 94591-4026
Registry dates
- Enumerated
- 2023-10-27
- Last updated
- 2023-10-27
- Certified
- 2023-10-27
Frequently asked questions
- What is Carly Anderson's NPI number?
- Carly Anderson's National Provider Identifier (NPI) is 1063284511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carly Anderson's specialty?
- Carly Anderson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Carly Anderson located?
- Carly Anderson's practice location on file with NPPES is 1310 Club Dr, Vallejo, CA 94592-1187.
- What is Carly Anderson's phone number?
- The practice phone number listed in the NPPES registry for Carly Anderson is (707) 638-5200.
- Is Carly Anderson's NPI active?
- Yes — Carly Anderson's NPI (1063284511) is active in the NPPES registry as of the last update on 2023-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.