Pacific Coast Anesthesia LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

27940 Issued in CA

Legal business name

PACIFIC COAST ANESTHESIA LLC

Practice address

4790 Irvine Blvd Ste 105-355
Irvine, CA 92620-1973

Phone

(949) 588-2190

Fax

(949) 588-2199

NPI assigned

Jan 23, 2009

Organization subpart

No

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

Authorized official

Name

Ed Stanley, CRNA

Title

President

Phone

(949) 588-2190

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1154569523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 IRVINE BLVD STE 105-355",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201973",
            "telephone_number": "949-588-2190",
            "fax_number": "949-588-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 IRVINE BLVD STE 105-355",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201973",
            "telephone_number": "949-588-2190",
            "fax_number": "949-588-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-588-2190",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "27940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROCESSING",
            "identifier": "NA27940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Pablo
• John Bart Pacetti
• Mayte Pacheco- Silva
• Jazmine Pacheco
• Pacific Cardiovascular Associates Medical Group, Inc.
• Pacific Coast Gastroenterology, Inc
• Pacific Genomics, LLC (Vantari Genetics)
• Pacific Hospitalist Associates a Medical Corporation
• Pacific Hospitalist Associates a Medical Corporation
• Pacific Hospitalist Associates a Medical Corporation

• Anesthesiology Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.