Edward S. Akkaway, M.D

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A72465 Issued in CA

Legal business name

EDWARD S. AKKAWAY, M.D

Doing business as

Edward S. Akkaway, M.D., A Professional Medical Corp.

Practice address

13160 Mindanao Way Ste 150
Marina del Rey, CA 90292-6393

Phone

(310) 574-0440

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Edward Akkaway, M.D.NPI 1801884200

Title

Authorized Offical

Phone

(310) 574-0440

Specialties & licenses 1

Addresses

Other names 1

• Edward S. Akkaway, M.D., A Professional Medical Corp. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Akkaway, MD

  • Anesthesiology Physician
  • Marina del Rey, CA
  • NPI 1801884200
  NPD Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1184718850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY STE 150",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926393",
            "telephone_number": "310-574-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY STE 150",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926393",
            "telephone_number": "310-574-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD S. AKKAWAY, M.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "AKKAWAY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "310-574-0440",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A72465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edward S. Akkaway, M.D., A Professional Medical Corp.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edward S. Akkaway, M.D., A Professional Medical Corp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anesthesiology Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.