Organization Active NPI

Alamitos Anesthesia Medical GRP Inc

  • Specialist
  • Los Alamitos, CA
National Provider Identifier
1174673917
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
FNP4353 Issued in CA
Legal business name
ALAMITOS ANESTHESIA MEDICAL GRP INC
Practice address
10900 Los Alamitos Blvd
150
Los Alamitos, CA 90720-2354
Phone
(562) 431-7519
Fax
(562) 431-2290
NPI assigned
Jan 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Debra A Reynolds
Title
Office Manager
Phone
(562) 431-7519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X FNP4353 CA Primary

Addresses

Primary practice location

10900 Los Alamitos Blvd
150
Los Alamitos, CA 90720-2354

Mailing address

10900 Los Alamitos Blvd
150
Los Alamitos, CA 90720-2354
Phone (562) 431-7519

National Provider Directory

National Provider Directory

Locations

10900 Los Alamitos Blvd
Ste 150
Los Alamitos, CA 90720
Phone (562) 431-7519

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174673917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 LOS ALAMITOS BLVD",
            "address_2": "150",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202354",
            "telephone_number": "562-431-7519",
            "fax_number": "562-431-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 LOS ALAMITOS BLVD",
            "address_2": "150",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202354",
            "telephone_number": "562-431-7519",
            "fax_number": "562-431-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMITOS ANESTHESIA MEDICAL GRP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "562-431-7519",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "FNP4353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.