Active NPI
Western Anesthesia and Critical Care Medicine Professional Corporation
- Critical Care Medicine (Anesthesiology) Physician
- Costa Mesa, CA
National Provider Identifier
1336418862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Anesthesiology) Physician
- Legal business name
- WESTERN ANESTHESIA AND CRITICAL CARE MEDICINE PROFESSIONAL CORPORATION
- Practice address
- 720 Paularino Ave
Costa Mesa, CA 92626-2940 - Phone
- (714) 641-4856
- NPI assigned
- Dec 29, 2011
- 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
- Dr. Ramin Akhavan, MD
- Title
- Ceo
- Phone
- (804) 306-9494
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A100615 | CA | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | Primary |
Addresses
Primary practice location
720 Paularino Ave
Costa Mesa, CA 92626-2940
Mailing address
PO Box 3098
Torrance, CA 90510-3098
Phone (310) 792-3914
National Provider Directory
National Provider DirectoryLocations
720 Paularino Ave
Costa Mesa, CA 92626
Phone (714) 641-4856
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Fountain Valley, CA
- NPI 1548330962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342483200000",
"number": "1336418862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3098",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905103098",
"telephone_number": "310-792-3914",
"fax_number": "855-898-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 PAULARINO AVE",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926262940",
"telephone_number": "714-641-4856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN ANESTHESIA AND CRITICAL CARE MEDICINE PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-29",
"last_updated": "2012-07-17",
"status": "A",
"authorized_official_last_name": "AKHAVAN",
"authorized_official_first_name": "RAMIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "804-306-9494",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "A100615",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Critical Care Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.