NPIMap

Organization Active NPI

St. Vincent Anesthesia Medical Group, Inc.

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1164535571
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ST. VINCENT ANESTHESIA MEDICAL GROUP, INC.
Practice address
2131 W 3Rd St
Los Angeles, CA 90057-1901
Phone
(213) 484-7111
Fax
(213) 484-5525
NPI assigned
Aug 17, 2006
Last updated
May 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Kathy Kondas
Title
Officer
Phone
(818) 845-6206

Specialties & licenses 1

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

Addresses

Primary practice location

2131 W 3Rd St
Los Angeles, CA 90057-1901

Mailing address

101 S 1St St
1000
Burbank, CA 91502-1938
Phone (818) 845-6206

Other practice location 1

10921 Cherry St Ste 100
Los Alamitos, CA 90720-2473
Phone (562) 795-5600

National Provider Directory

National Provider Directory

Locations

555 S 7th Ave
#1112
Barstow, CA 92311
Phone (760) 256-1761

10904 Reagan St
#1182
Los Alamitos, CA 90720
Phone (562) 596-3140

2131 W 3rd St
#1182
Los Angeles, CA 90057
Phone (213) 484-7111

1301 N Rose Dr
Placentia, CA 92870
Phone (714) 524-4252

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1164535571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S 1ST ST",
            "address_2": "1000",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021938",
            "telephone_number": "818-845-6206",
            "fax_number": "818-845-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571901",
            "telephone_number": "213-484-7111",
            "fax_number": "213-484-5525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10921 Cherry St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907202473",
            "country_code": "US",
            "telephone_number": "562-795-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. VINCENT ANESTHESIA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "KONDAS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "818-845-6206"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.