NPIMap

Organization Active NPI

Xenon Anesthesia of Texas PLLC

  • Anesthesiology Physician
  • Redondo Beach, CA
National Provider Identifier
1144518994
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M3450 Issued in TX
Legal business name
XENON ANESTHESIA OF TEXAS PLLC
Practice address
2211 Clark LN
Unit B
Redondo Beach, CA 90278-4303
Phone
(917) 621-6854
Fax
(646) 304-1681
NPI assigned
Jul 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Dr. Mujtaba Ali-Khan, DO
Title
Owner
Phone
(281) 408-4108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X M3450 TX Primary

Addresses

Primary practice location

2211 Clark LN
Unit B
Redondo Beach, CA 90278-4303

Mailing address

27 N Arrow Canyon Cir
The Woodlands, TX 77389-2630
Phone (281) 408-4108

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1144518994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 N ARROW CANYON CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773892630",
            "telephone_number": "281-408-4108",
            "fax_number": "281-408-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 CLARK LN",
            "address_2": "UNIT B",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784303",
            "telephone_number": "917-621-6854",
            "fax_number": "646-304-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XENON ANESTHESIA OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "ALI-KHAN",
        "authorized_official_first_name": "MUJTABA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-408-4108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M3450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.