NPIMap

Organization Active NPI

Anesthesia Specialists of Orange County, Inc.

  • Anesthesiology Physician
  • Anaheim, CA
National Provider Identifier
1134311319
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANESTHESIA SPECIALISTS OF ORANGE COUNTY, INC.
Practice address
1211 W la Palma Ave
Suite 209
Anaheim, CA 92801-2815
Phone
(877) 594-2787
Fax
(858) 505-7101
NPI assigned
Aug 13, 2007
Last updated
Feb 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Authorized official

Name
Ernesto P. Gidaya Jr., M.D.NPI 1003873522
Title
President
Phone
(310) 600-4662

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
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

1211 W la Palma Ave
Suite 209
Anaheim, CA 92801-2815

Mailing address

PO Box 51493
Ontario, CA 91761-0093
Phone (877) 594-2787

Other identifiers 1

IdentifierTypeStateIssuer
1134311319MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071220000220 CA Part B Supplier - Clinic/Group Practice 9830289388 Receives reassigned benefits from 72 practitioners
Practice locations: Santa Ana, CA; Westminster, CA; Long Beach, CA; La Palma, CA; Garden Grove, CA; Brea, CA; Anaheim, CA; Costa Mesa, CA

National Provider Directory

National Provider Directory

Locations

1211 W La Palma Ave
Ste 209
Anaheim, CA 92801
Phone (714) 398-8180

Practitioners & affiliated clinicians

Practitioners 81

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 81

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1134311319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51493",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917610093",
            "telephone_number": "877-594-2787",
            "fax_number": "858-505-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE",
            "address_2": "SUITE 209",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012815",
            "telephone_number": "877-594-2787",
            "fax_number": "858-505-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA SPECIALISTS OF ORANGE COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "GIDAYA",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-600-4662",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134311319",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.