NPIMap

Organization Active NPI

Alpine Anesthesia LLC

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1164812673
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ALPINE ANESTHESIA LLC
Practice address
322 Karen Ave
Unit 1207
Las Vegas, NV 89109-0412
Phone
(801) 368-0468
Fax
(801) 880-3841
NPI assigned
Feb 4, 2015
Last updated
Apr 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Dr. Christian Garaycochea, M.D.NPI 1104942887
Title
Owner
Phone
(801) 368-0468

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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

322 Karen Ave
Unit 1207
Las Vegas, NV 89109-0412

Mailing address

322 Karen Ave
Unit 1207
Las Vegas, NV 89109-0412
Phone (801) 368-0468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150609001154 UT Part B Supplier - Clinic/Group Practice 0749501294 Receives reassigned benefits from 45 practitioners
Practice locations: Lehi, UT; Orem, UT; Salt Lake City, UT
O20190129000527 AZ Part B Supplier - Clinic/Group Practice 0749501294 Receives reassigned benefits from 3 practitioners
Practice locations: Bullhead City, AZ; Kingman, AZ

National Provider Directory

National Provider Directory

Locations

1919 Florence Ave
Ste 5
Kingman, AZ 86401
Phone (928) 753-2106

4465 S 900 E
Ste 200
Salt Lake Cty, UT 84124
Phone (801) 266-2777

Practitioners & affiliated clinicians

Practitioners 46

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 46

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1164812673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 KAREN AVE",
            "address_2": "UNIT 1207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891090412",
            "telephone_number": "801-368-0468",
            "fax_number": "801-880-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 KAREN AVE",
            "address_2": "UNIT 1207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891090412",
            "telephone_number": "801-368-0468",
            "fax_number": "801-880-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "GARAYCOCHEA",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-368-0468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.