NPIMap

Organization Active NPI

Impact Anesthesia Associates

  • Certified Registered Nurse Anesthetist
  • Oceanside, CA
National Provider Identifier
1043676331
Registry record updated Jan 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
IMPACT ANESTHESIA ASSOCIATES
Practice address
1660 Seattle Slew Way
Oceanside, CA 92057-5621
Phone
(619) 788-4408
NPI assigned
Jan 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shane Garst, CRNANPI 1659739183
Title
Ceo
Phone
(619) 788-4408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

1660 Seattle Slew Way
Oceanside, CA 92057-5621

Mailing address

1660 Seattle Slew Way
Oceanside, CA 92057-5621
Phone (619) 788-4408

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451779200000",
    "number": "1043676331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 SEATTLE SLEW WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920575621",
            "telephone_number": "619-788-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 SEATTLE SLEW WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920575621",
            "telephone_number": "619-788-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT ANESTHESIA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-03",
        "last_updated": "2016-01-03",
        "status": "A",
        "authorized_official_last_name": "GARST",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-788-4408",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.