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Deactivated NPI 1730539412 Deactivated / Inactive NPI Male Practitioner

Anderson Durham

Driver • Antioch, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Anderson Durham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 14, 2016
NPI Deactivation Date January 12, 2020
Total Practice Duration ~4 Years of Practice (2016 – 2020)

Professional Overview & Biography Verified Profile Summary

Anderson Durham was a registered Driver practicing in Antioch, CA. Throughout an active medical career spanning 4 years, Anderson Durham provided care at the practice location at 4453 PAMPAS CIR until profile deactivation on 2020-01-12.

Practice Location & Contact Primary Location

Practice Address

4453 Pampas Cir

Antioch, CA 945317732

Telephone 9162482987

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Antioch, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Antioch, CA (785 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

A person employed to operate a motor vehicle as a carrier of persons or property.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 12, 2020

Record deactivated on January 12, 2020

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NPI Profile Active June 14, 2016

NPI status registered as active in NPPES database

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Updated Practice Location June 14, 2016

Registered at 4453 PAMPAS CIR, ANTIOCH, CA 945317732 (Tel: 9162482987)

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Updated Business Mailing Address June 14, 2016

Registered at 4453 PAMPAS CIR, ANTIOCH, CA 945317732

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Provider Name / Credentials Updated June 14, 2016

Recorded as ANDERSON DURHAM

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2016

Driver

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Initial NPI Registration & Enumeration June 14, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730539412
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2016
Last Update: June 14, 2016
Deactivation Date: January 12, 2020
Update or Correct Profile

Mailing Address

4453 Pampas Cir

Antioch, CA 945317732

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.