Ellison Concepcion Nursing Anesthesiology Services Inc

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

ELLISON CONCEPCION NURSING ANESTHESIOLOGY SERVICES INC

Practice address

430 E Avenida de Los Arboles Ste 101
Thousand Oaks, CA 91360-3017

Phone

(805) 241-0151

NPI assigned

Apr 2, 2024

Last updated

Apr 2, 2024By 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

Ellison Pua Concepcion, CRNANPI 1689187858

Title

President

Phone

(818) 497-2965

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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.

• Ellison Pua Concepcion, CRNA MSN

  • Certified Registered Nurse Anesthetist
  • Los Angeles, CA
  • NPI 1689187858

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1346092442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7001",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913577001",
            "telephone_number": "818-888-7815",
            "fax_number": "818-715-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E AVENIDA DE LOS ARBOLES STE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603017",
            "telephone_number": "805-241-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLISON CONCEPCION NURSING ANESTHESIOLOGY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "CONCEPCION",
        "authorized_official_first_name": "ELLISON",
        "authorized_official_middle_name": "PUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-497-2965",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Certified Registered Nurse Anesthetist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.