Organization Active NPI

JS Anesthesia and Pain Mangement

  • Anesthesiology Physician
  • Barstow, CA
National Provider Identifier
1194908996
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C51490 Issued in CA
Legal business name
JS ANESTHESIA AND PAIN MANGEMENT
Practice address
555 S 7TH Ave
Barstow, CA 92311-3043
Phone
(760) 256-1761
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Dr. Jed Shay, M.D.
Title
President
Phone
(858) 717-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X C51490 CA Primary

Addresses

Primary practice location

555 S 7TH Ave
Barstow, CA 92311-3043

Mailing address

PO Box 126595
San Diego, CA 92112-6595
Phone (858) 717-7111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1194908996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126595",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921126595",
            "telephone_number": "858-717-7111",
            "fax_number": "760-269-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S 7TH AVE",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113043",
            "telephone_number": "760-256-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JS ANESTHESIA AND PAIN MANGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "SHAY",
        "authorized_official_first_name": "JED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-717-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C51490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barstow, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.