Active NPI
Landmark Anesthesia Medical Group Llumc
- Critical Care Medicine (Anesthesiology) Physician
- Murrieta, CA
National Provider Identifier
1184260697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Anesthesiology) Physician
- Legal business name
- LANDMARK ANESTHESIA MEDICAL GROUP LLUMC
- Practice address
- 28062 Baxter Rd
Murrieta, CA 92563-1401 - Phone
- (951) 290-4000
- NPI assigned
- Nov 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hanh Nguyen-Clark, MD
- Title
- President
- Phone
- (310) 792-3914
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | Primary |
Addresses
Primary practice location
28062 Baxter Rd
Murrieta, CA 92563-1401
Mailing address
PO Box 3129
Torrance, CA 90510-3129
Phone (310) 792-3914
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574121600000",
"number": "1184260697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3129",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905103129",
"telephone_number": "310-792-3914",
"fax_number": "855-898-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28062 BAXTER RD",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925631401",
"telephone_number": "951-290-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANDMARK ANESTHESIA MEDICAL GROUP LLUMC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-19",
"last_updated": "2019-11-19",
"status": "A",
"authorized_official_last_name": "NGUYEN-CLARK",
"authorized_official_first_name": "HANH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-792-3914",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LC0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Critical Care Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.