Individual provider · Type 1 NPI

Wyatt Jeffrey Andersen, PA-C

Physician Assistant · Stanford, CA

NPI number 1134867864 Active

Practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Other practice locations

  • 725 Roble Ave Apt 4, Menlo Park, CA 94025-4828 · (707) 799-8311

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X62760 (CA)
Surgical Physician Assistant 363AS0400X62760 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1134867864

Wyatt Jeffrey Andersen, PA-C's National Provider Identifier is 1134867864, issued on May 23, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Stanford, CA. The record was last updated on Dec 23, 2025.