Active NPI
Allison Stavaridis Crna Inc
- Anesthesiology Physician
- Monterey Park, CA
National Provider Identifier
1083083653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 3574
- Legal business name
- ALLISON STAVARIDIS CRNA INC
- Practice address
- 850 S Atlantic Blvd
Ste 201
Monterey Park, CA 91754-4730 - Phone
- (626) 289-2894
- Fax
- (626) 289-2840
- NPI assigned
- Sep 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allison Stavaridis, CRNA
- Title
- Crna
- Phone
- (310) 367-7863
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 3574 | CA | Primary |
Addresses
Primary practice location
850 S Atlantic Blvd
Ste 201
Monterey Park, CA 91754-4730
Mailing address
PO Box 5486
Orange, CA 92863-5486
Phone (818) 550-0900
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443052800000",
"number": "1083083653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5486",
"city": "ORANGE",
"state": "CA",
"postal_code": "928635486",
"telephone_number": "818-550-0900",
"fax_number": "303-953-8260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 S ATLANTIC BLVD",
"address_2": "STE 201",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917544730",
"telephone_number": "626-289-2894",
"fax_number": "626-289-2840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLISON STAVARIDIS CRNA INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-24",
"last_updated": "2015-09-24",
"status": "A",
"authorized_official_last_name": "STAVARIDIS",
"authorized_official_first_name": "ALLISON",
"authorized_official_title_or_position": "CRNA",
"authorized_official_telephone_number": "310-367-7863",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "3574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.