NPIMap

Organization Active NPI

Pier Anesthesia Group, Inc.

  • Anesthesiology Physician
  • Chino, CA
National Provider Identifier
1114420478
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PIER ANESTHESIA GROUP, INC.
Practice address
5451 Walnut Ave
Chino, CA 91710-2609
Phone
(424) 241-1546
NPI assigned
Mar 13, 2018
Last updated
Nov 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Dr. Irv Edwards, MD
Title
President/Authorized Official
Phone
(424) 241-1546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

5451 Walnut Ave
Chino, CA 91710-2609

Mailing address

PO Box 80754
City of Industry, CA 91716-8418
Phone (424) 241-1546

Other practice location 1

5000 San Bernardino St
Montclair, CA 91763-2326
Phone (424) 241-1546

Other practice location 2

1350 W Covina Blvd
San Dimas, CA 91773-3245
Phone (424) 241-1546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180517000882 CA Part B Supplier - Clinic/Group Practice 6305101510 Receives reassigned benefits from 23 practitioners
Practice locations: Chino, CA; Montclair, CA; San Dimas, CA

National Provider Directory

National Provider Directory

Locations

1360 W 6th St
Ste D
San Pedro, CA 90732
Phone (310) 514-0404

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1114420478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80754",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917168418",
            "telephone_number": "424-241-1546",
            "fax_number": "310-379-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 WALNUT AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102609",
            "telephone_number": "424-241-1546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 San Bernardino St",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "917632326",
            "country_code": "US",
            "telephone_number": "424-241-1546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 W Covina Blvd",
            "address_purpose": "LOCATION",
            "city": "San Dimas",
            "state": "CA",
            "postal_code": "917733245",
            "country_code": "US",
            "telephone_number": "424-241-1546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIER ANESTHESIA GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "IRV",
        "authorized_official_title_or_position": "PRESIDENT/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "424-241-1546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.