Active NPI
Carmel Healthcare Anesthesia Medical Providers Inc
- Anesthesiology Physician
- Monterey, CA
National Provider Identifier
1255538658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- CARMEL HEALTHCARE ANESTHESIA MEDICAL PROVIDERS INC
- Practice address
- 23625 Holman Highway
Monterey, CA 93940 - Phone
- (831) 624-5311
- NPI assigned
- Jun 28, 2007
- 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
- Richard J Kelly, MD
- Title
- Group President
- Phone
- (831) 624-5311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
23625 Holman Highway
Monterey, CA 93940
Mailing address
484 B Washington St
PMB 345
Monterey, CA 93940
Phone (209) 956-7725
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0105420 | Medicaid | CA | |
| ZZZ62741Z | Other | CA | BLUE SHIELD OF CA |
| ZZZ62742Z | Other | CA | BLUE SHIELD OF CA |
| ZZZ62740Z | Other | CA | BLUE SHIELD OF CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196812800000",
"number": "1255538658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 B WASHINGTON ST",
"address_2": "PMB 345",
"city": "MONTEREY",
"state": "CA",
"postal_code": "93940",
"telephone_number": "209-956-7725",
"fax_number": "209-956-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23625 HOLMAN HIGHWAY",
"city": "MONTEREY",
"state": "CA",
"postal_code": "93940",
"telephone_number": "831-624-5311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARMEL HEALTHCARE ANESTHESIA MEDICAL PROVIDERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-28",
"last_updated": "2007-12-05",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "GROUP PRESIDENT",
"authorized_official_telephone_number": "831-624-5311",
"authorized_official_credential": "MD"
},
"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": "GR0105420",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "ZZZ62741Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "ZZZ62742Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "ZZZ62740Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
- Care Plus
- Careone Home Health LLC
- Carlos Ramirez, M.D. a Professional Medical Corporation
- Brad Carlson
- Carmel Healthcare Anesthesia Medical Providers Inc
- Carmel Healthcare Anesthesia Medical Providers Inc
- Christina Diane Shamah Carmichael
- Gerald Carnazzo, M.D.
- Katelin Rose Carollo, CCC-SLP
- Kaitlyn R Carpio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.