Augustus Emmett Anderson IV
NPI 1720893001ActiveIndividual· General Practice· San Diego, CA
General Practice in San Diego, California, licensed in VA, with an NPI issued in February 2025.
Overview
| NPI | 1720893001 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 12, 2025 |
| Last updated in NPPES | Jul 16, 2026 |
| Certified by provider | Jul 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 0101290184 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other General Practice providers in San Diego
- 1780128256
- 1922689496
- 1922494681
- 1063786523
- 1548449564
- 1144046624
- 1073047593
- 1952835472
- 1497450530
- 1407134521
- 1831490184
- 1447094958