Organization Active NPI

Medical Anesthesia Associates of Southern California Inc

  • Anesthesiology Physician
  • Beverly Hills, CA
National Provider Identifier
1265978241
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MEDICAL ANESTHESIA ASSOCIATES OF SOUTHERN CALIFORNIA INC
Practice address
9090 Wilshire Blvd Ste 102
Beverly Hills, CA 90211-1848
Phone
(310) 273-2000
NPI assigned
Jan 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Pamela Reilly
Title
Office Manager
Phone
(310) 273-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

9090 Wilshire Blvd Ste 102
Beverly Hills, CA 90211-1848

Mailing address

9663 Santa Monica Blvd Ste 628
Beverly Hills, CA 90210-4303
Phone (310) 273-2000

Other practice location 1

435 N Bedford Dr
Suite 216
Beverly Hills, CA 90210-4321
Phone (310) 273-2000

National Provider Directory

National Provider Directory
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.

Locations

414 N Camden Dr
Ste 8
Beverly Hills, CA 90210

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1265978241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD STE 628",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303",
            "telephone_number": "310-273-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 WILSHIRE BLVD STE 102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111848",
            "telephone_number": "310-273-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 N Bedford Dr",
            "address_2": "Suite 216",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902104321",
            "country_code": "US",
            "telephone_number": "310-273-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL ANESTHESIA ASSOCIATES OF SOUTHERN CALIFORNIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-273-2000"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.