Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1609347897 Deactivated / Inactive NPI Male Practitioner

Fabian De Anda

Driver • San Jacinto, 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, Fabian De Anda has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 16, 2018
NPI Deactivation Date February 15, 2019
Total Practice Duration ~1 Years of Practice (2018 – 2019)

Professional Overview & Biography Verified Profile Summary

Fabian De Anda was a registered Driver practicing in San Jacinto, CA. Throughout an active medical career spanning 1 years, Fabian De Anda provided care at the practice location at 607 DONNA WAY until profile deactivation on 2019-02-15.

Practice Location & Contact Primary Location

Practice Address

607 Donna Way

San Jacinto, CA 925835517

Telephone 9516540803
Fax 9514870440
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in San Jacinto, CA

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

Practicing in San Jacinto, 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
NPI 1003786633
Dr. Bruce Peterson , DDS

Dentist - General Practice

NPI 1063531481

Doctor of Dental Surgery

Megan Dunnington

Marriage & Family Therapist

NPI 1134702384
Jacquelin Tejeda , RN

Registered Nurse - Case Management

NPI 1275108680

Registered Nurse

NPI 1295051852

Doctor of Medicine (M.D.)

NPI 1356186423

Doctor of Optometry

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 February 15, 2019

Record deactivated on February 15, 2019

NPI Profile Active December 16, 2018

NPI status registered as active in NPPES database

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Updated Practice Location December 16, 2018

Registered at 607 DONNA WAY, SAN JACINTO, CA 925835517 (Tel: 9516540803)

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Updated Business Mailing Address December 16, 2018

Registered at 607 DONNA WAY, SAN JACINTO, CA 925835517 (Tel: 9516540803)

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Provider Name / Credentials Updated December 16, 2018

Recorded as FABIAN DE ANDA

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2018

Driver

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Initial NPI Registration & Enumeration December 16, 2018

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: 1609347897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 16, 2018
Last Update: December 16, 2018
Deactivation Date: February 15, 2019

Mailing Address

607 Donna Way

San Jacinto, CA 925835517

Phone: 9516540803

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.