Medical Anesthesia Associates of Southern California Inc

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A86743 Issued in CA

Legal business name

MEDICAL ANESTHESIA ASSOCIATES OF SOUTHERN CALIFORNIA INC

Practice address

9461 Pittsburgh Ave Ste B
Rancho Cucamonga, CA 91730-9022

Phone

(909) 460-8300

NPI assigned

Oct 30, 2017

Last updated

Jan 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James A Nassiri, MD

Title

President

Phone

(951) 371-1067

Specialties & licenses 1

Addresses

Tax ID family

Medical Anesthesia Associates of Southern California Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medical Anesthesia Associates of Southern California Inc

  • Anesthesiology Physician
  • Beverly Hills, CA
  • NPI 1265978241
  NPD tax ID

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1255843322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250387",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912250387",
            "telephone_number": "951-371-1067",
            "fax_number": "951-808-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9461 PITTSBURGH AVE STE B",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917309022",
            "telephone_number": "909-460-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ANESTHESIA ASSOCIATES OF SOUTHERN CALIFORNIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "NASSIRI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-371-1067",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A86743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Priscilla Medellin, BA
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• Medicor Medical Group, Inc
• Erendira Alejandra Medina
• Erika Medina
• Mallory Medina

• Pain Medicine (Anesthesiology) Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.