Organization Active NPI

Valley Anesthesia and Ancillary Services, Inc.,

  • Health Service Clinic/Center
  • Encino, CA
National Provider Identifier
1124586490
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
VALLEY ANESTHESIA AND ANCILLARY SERVICES, INC.,
Practice address
5435 Balboa Blvd Ste 101
Encino, CA 91316-1686
Phone
(818) 990-2383
Fax
(818) 322-3100
NPI assigned
Mar 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Authorized official

Name
Elsa Maffei
Title
Billing Manager
Phone
(818) 501-2001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Health Maintenance Organization 302R00000X

Addresses

Primary practice location

5435 Balboa Blvd Ste 101
Encino, CA 91316-1686

Mailing address

5435 Balboa Blvd Ste 101
Encino, CA 91316-1686
Phone (818) 990-2383

Other identifiers 2

IdentifierTypeStateIssuer
1120OtherCAANESTHESIA AND ANCILLARY
C4225772OtherCAANESTHESIA AND ANCILLARY

National Provider Directory

National Provider Directory

Locations

5435 Balboa Blvd
Ste 101
Encino, CA 91316
Phone (818) 990-2383

NPI Registry JSON

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1124586490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 BALBOA BLVD STE 101",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161686",
            "telephone_number": "818-990-2383",
            "fax_number": "818-322-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 BALBOA BLVD STE 101",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161686",
            "telephone_number": "818-990-2383",
            "fax_number": "818-322-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ANESTHESIA AND ANCILLARY SERVICES, INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "MAFFEI",
        "authorized_official_first_name": "ELSA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "818-501-2001"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANESTHESIA AND ANCILLARY",
            "identifier": "1120",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANESTHESIA AND ANCILLARY",
            "identifier": "C4225772",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.