Active NPI
Las Tunas Anesthesia Medical Group
- Anesthesiology Physician
- San Gabriel, CA
National Provider Identifier
1144244898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- LAS TUNAS ANESTHESIA MEDICAL GROUP
- Practice address
- 438 W Las Tunas Dr
San Gabriel, CA 91776-1216 - Phone
- (626) 829-5454
- Fax
- (626) 457-7172
- NPI assigned
- Jul 26, 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
- Avtar Singh Kumar, M.D.
- Title
- President
- Phone
- (626) 795-6596
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | CA | Primary |
Addresses
Primary practice location
438 W Las Tunas Dr
San Gabriel, CA 91776-1216
Mailing address
PO Box 60790
Pasadena, CA 91116-6790
Phone (626) 795-6596
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ56669Z | Other | CA | BLUE SHIELD |
| GR0083270 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Anesthesiology Physician
- San Gabriel, CA
- NPI 1629082821
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1649232307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393545600000",
"number": "1144244898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60790",
"city": "PASADENA",
"state": "CA",
"postal_code": "911166790",
"telephone_number": "626-795-6596",
"fax_number": "626-795-8247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 W LAS TUNAS DR",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761216",
"telephone_number": "626-829-5454",
"fax_number": "626-457-7172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAS TUNAS ANESTHESIA MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-26",
"last_updated": "2014-02-28",
"status": "A",
"authorized_official_last_name": "KUMAR",
"authorized_official_first_name": "AVTAR",
"authorized_official_middle_name": "SINGH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-795-6596",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ56669Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0083270",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.