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Ace Anesthesia Group Inc

Organization Active NPI Anesthesiology Physician · Hollister, CA

NPI 1205123239 · NPPES record last updated Sep 13, 2011

Key facts

NPI
1205123239
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
License
A067559 (CA)
Legal business name
ACE ANESTHESIA GROUP INC
Practice address
911 Sunset Dr
Hollister, CA 95023-5606
Phone
(831) 637-5711
NPI assigned
Jun 28, 2011
Organization subpart
No

Authorized official

Name
Dr. Amitabh Mohan Mathur, MD
Title
President
Phone
(408) 921-9615

National Provider Directory

Locations

843 San Benito St
Hollister, CA 95023
Phone (831) 630-5754

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD
    Plans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207L00000X A067559 CA Yes

Addresses

Primary practice location

911 Sunset Dr
Hollister, CA 95023-5606

Mailing address

2635 G St
Bakersfield, CA 93301-2813
Phone (661) 633-1500

Other providers in Hollister, CA

All providers in Hollister, CA · Anesthesiology Physician in California

Sources for this page

Verify at the official NPI Registry.