Active NPI
Palmdale Anesthesia, Inc
- Anesthesiology Physician
- Palmdale, CA
National Provider Identifier
1205698115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- PALMDALE ANESTHESIA, INC
- Practice address
- 38600 Medical Center Dr
Palmdale, CA 93551-4483 - Phone
- (661) 382-5000
- NPI assigned
- Jan 25, 2024
- 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
- Irv Edwards, MD
- Title
- Ceo
- Phone
- (310) 321-0143
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
38600 Medical Center Dr
Palmdale, CA 93551-4483
Mailing address
898 N Pacific Coast Hwy Ste 600
El Segundo, CA 90245-2747
Phone (310) 698-5452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240403003660 | CA | Part B Supplier - Clinic/Group Practice | 4385082734 |
Receives reassigned benefits from 22 practitioners Practice locations: Palmdale, CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 23
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Paradise, CA
- NPI 1053585984
Anesthesiology, CA
-
- Anesthesiology Physician
- Palmdale, CA
- NPI 1164954566
Anesthesiology, CA
-
- Anesthesiology Physician
- West Hollywood, CA
- NPI 1639230345
Anesthesiology, CA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706140800000",
"number": "1205698115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "898 N PACIFIC COAST HWY STE 600",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902452747",
"telephone_number": "310-698-5452",
"fax_number": "310-379-4856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38600 MEDICAL CENTER DR",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935514483",
"telephone_number": "661-382-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMDALE ANESTHESIA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-25",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "IRV",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-321-0143",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.