Beach Cities Pain Management Group

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G66639 Issued in CA

Legal business name

BEACH CITIES PAIN MANAGEMENT GROUP

Practice address

514 N Prospect Ave
Ste 100
Redondo Beach, CA 90277-3036

Phone

(310) 376-2707

Fax

(310) 798-4600

NPI assigned

Sep 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Anthony M Calloway, M.D.NPI 1710930904

Title

President

Phone

(310) 792-3914

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Anthony Michael Calloway, M.D.

  • Anesthesiology Physician
  • Inglewood, CA
  • NPI 1710930904
  Medicare reassignment Authorized official
• Deborah K Lynn, M.D.

  • Anesthesiology Physician
  • Torrance, CA
  • NPI 1194776849
  Medicare reassignment NPD

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1235447392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3098",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103098",
            "telephone_number": "310-792-3914",
            "fax_number": "310-792-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 N PROSPECT AVE",
            "address_2": "STE 100",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773036",
            "telephone_number": "310-376-2707",
            "fax_number": "310-798-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH CITIES PAIN MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "CALLOWAY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-792-3914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G66639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE",
            "identifier": "G66639",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Ryan Baughman, MA
• Arianna Bayangos, OTD
• Joshua Baysa, PPS
• Beach Cities Babies
• Beach Cities Health District
• Beach District Surgery Center LP
• Amber Beach
• Beachkids Pediatrics a Professional Nursing Corporation
• Jeannine Marie Beaumont, MFT, ATR
• Alexandra Beck, MA, BCBA

• Anesthesiology Physician in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.

Verify at the official NPI Registry.