Active NPI
Coastal Anesthesia Medical Consultants Inc
- Certified Registered Nurse Anesthetist
- Cerritos, CA
National Provider Identifier
1306611918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- COASTAL ANESTHESIA MEDICAL CONSULTANTS INC
- Practice address
- 11841 South St
Cerritos, CA 90703-6825 - Phone
- (562) 809-8082
- NPI assigned
- Nov 24, 2023
- Last updated
- Nov 24, 2023
- 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
- Noor-Ul-Ain Fatima Khan, DNAP, CRNA
- Title
- Ceo
- Phone
- (281) 701-4361
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
11841 South St
Cerritos, CA 90703-6825
Mailing address
16317 Fieldcrest CT
La Mirada, CA 90638-6509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11845 South St
Cerritos, CA 90703
Phone (562) 809-2103
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Certified Registered Nurse Anesthetist
- Lynwood, CA
- NPI 1013627587
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700784000000",
"number": "1306611918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16317 FIELDCREST CT",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906386509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11841 SOUTH ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907036825",
"telephone_number": "562-809-8082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL ANESTHESIA MEDICAL CONSULTANTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-24",
"last_updated": "2023-11-24",
"certification_date": "2023-11-24",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "NOOR-UL-AIN",
"authorized_official_middle_name": "FATIMA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "281-701-4361",
"authorized_official_credential": "DNAP, CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.