Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caroline D Andersen, PA

Individual provider Medical Physician Assistant · NPI 1669755682

Caroline D Andersen, PA is a Physician Assistant in Stockton, California. Qualified in 2011, 15 years ago. Practices with Stockton Cardiology Medical Group Complete Heart Care Inc, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

415 E Harding Way Ste D
Stockton, CA 95204-6118
Phone: (209) 944-5750
Fax: (209) 464-2684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA21726 (CA)

Record details

NPI number1669755682
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 26, 2011
Last updated in NPPESSeptember 26, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Stockton Cardiology Medical Group Complete Heart Care Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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