Active NPI
St Francis Medical Center Gas, Inc
- Anesthesiology Physician
- Lynwood, CA
National Provider Identifier
1205877677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- ST FRANCIS MEDICAL CENTER GAS, INC
- Practice address
- 3630 E Imperial Hwy
Lynwood, CA 90262-2636 - Phone
- (310) 900-7420
- Fax
- (310) 603-6586
- NPI assigned
- Jun 9, 2006
- 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
- Dr. David H Daneshvar, M.D.
- Title
- President
- Phone
- (310) 900-7420
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
3630 E Imperial Hwy
Lynwood, CA 90262-2636
Mailing address
PO Box 969096
San Diego, CA 92196-9096
Phone (858) 495-0971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0068650 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194998400000",
"number": "1205877677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 969096",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921969096",
"telephone_number": "858-495-0971",
"fax_number": "858-495-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 E IMPERIAL HWY",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622636",
"telephone_number": "310-900-7420",
"fax_number": "310-603-6586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST FRANCIS MEDICAL CENTER GAS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2007-11-14",
"status": "A",
"authorized_official_last_name": "DANESHVAR",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-900-7420",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0068650",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
- Ryan Matthew Spivak, M.D.
- Jose Spiwak, M.D.
- Dionne Springer
- St Francis Medical Center
- St Francis Medical Center
- St Francis Radiology Medical Group
- St Francis Turiya Anesthesia
- St. Francis Medical Center - CCC
- St. Francis Multispecialty Medical Group, Inc.
- St. Francis Multispecialty Medical Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.