Active NPI
North County Anesthesia Medical Associates
- Anesthesiology Physician
- Templeton, CA
National Provider Identifier
1083631998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- NORTH COUNTY ANESTHESIA MEDICAL ASSOCIATES
- Practice address
- 1100 Las Tablas Rd
Templeton, CA 93465-9704 - Phone
- (805) 434-3500
- NPI assigned
- Jul 16, 2006
- 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
- Bethanie Lane
- Title
- Practice Manager
- Phone
- (805) 434-1375
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | CA | Primary |
Addresses
Primary practice location
1100 Las Tablas Rd
Templeton, CA 93465-9704
Mailing address
PO Box 605
Templeton, CA 93465-0605
Phone (805) 434-1375
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0065000 | Medicaid | CA | |
| ZZZ46801Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
National Provider Directory
National Provider DirectoryLocations
Dept LA 24067
Pasadena, CA 91185
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Grover Beach, CA
- NPI 1174548267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1083631998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 605",
"city": "TEMPLETON",
"state": "CA",
"postal_code": "934650605",
"telephone_number": "805-434-1375",
"fax_number": "805-434-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 LAS TABLAS RD",
"city": "TEMPLETON",
"state": "CA",
"postal_code": "934659704",
"telephone_number": "805-434-3500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH COUNTY ANESTHESIA MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "LANE",
"authorized_official_first_name": "BETHANIE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "805-434-1375"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0065000",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "ZZZ46801Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Templeton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.