NPIMap

Organization Active NPI

Crystal Anesthesiology Inc

  • Anesthesiology Physician
  • Orange, CA
National Provider Identifier
1285320580
Registry record updated Jun 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CRYSTAL ANESTHESIOLOGY INC
Practice address
681 S Parker St
Orange, CA 92868-4719
Phone
(262) 342-6695
NPI assigned
Apr 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2023

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

Authorized official

Name
Dr. Phillip Richardson, MDNPI 1417961699
Title
President
Phone
(262) 342-6695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

681 S Parker St
Orange, CA 92868-4719

Mailing address

PO Box 4163
Irvine, CA 92616-4163
Phone (262) 342-6695

Other practice location 1

20360 SW Birch St Ste 110
Newport Beach, CA 92660-1532
Phone (262) 342-6695

Other practice location 2

3500 Barranca Pkwy Ste 130
Irvine, CA 92606-8227
Phone (262) 342-6695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230622000872 CA Part B Supplier - Clinic/Group Practice 5597123604 Receives reassigned benefits from 29 practitioners
Practice locations: Irvine, CA; Newport Beach, CA; Orange, CA; Seal Beach, CA

National Provider Directory

National Provider Directory

Locations

20360 SW Birch St
Ste 110
Newport Beach, CA 92660
Phone (562) 292-8705

Practitioners & affiliated clinicians

Practitioners 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685750400000",
    "number": "1285320580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4163",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926164163",
            "telephone_number": "262-342-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 S PARKER ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684719",
            "telephone_number": "262-342-6695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20360 SW Birch St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926601532",
            "country_code": "US",
            "telephone_number": "262-342-6695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 Barranca Pkwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926068227",
            "country_code": "US",
            "telephone_number": "262-342-6695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRYSTAL ANESTHESIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-06-03",
        "certification_date": "2023-06-03",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-342-6695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2023; 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.