Active NPI
Allied Anesthesia Medical Group Inc
- Anesthesiology Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- ALLIED ANESTHESIA MEDICAL GROUP INC
- Practice address
- 1100 W Stewart Dr
Orange, CA 92868-3849 - Phone
- (714) 633-9111
- Fax
- (714) 744-8695
- NPI assigned
- Jul 16, 2006
- Last updated
- Feb 19, 2015
- 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
- Kaveh Matin, M.D.
- Title
- President / Authorized Official
- Phone
- (714) 619-4730
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | NU | Primary |
Addresses
Primary practice location
1100 W Stewart Dr
Orange, CA 92868-3849
Mailing address
PO Box 1628
Orange, CA 92856-0628
Phone (714) 560-1580
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0059140 | Medicaid | CA | |
| ZZZ40419Z | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
15825 Laguna Canyon Rd
Irvine, CA 92618
Phone (949) 341-3499
1310 W Stewart Dr
Ste 303
Orange, CA 92868
Phone (714) 738-4621
681 S Parker St
Orange, CA 92868
Phone (714) 744-0439
901 San Bernardino Rd
#200
Upland, CA 91786
Phone (909) 579-1500
901 San Bernardino Rd
Ste 200
Upland, CA 91786
Phone (909) 579-1500
Practitioners & affiliated clinicians
Practitioners 430
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424304000000",
"number": "1346267267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1628",
"city": "ORANGE",
"state": "CA",
"postal_code": "928560628",
"telephone_number": "714-560-1580",
"fax_number": "714-560-1585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W STEWART DR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683849",
"telephone_number": "714-633-9111",
"fax_number": "714-744-8695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIED ANESTHESIA MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2015-02-19",
"status": "A",
"authorized_official_last_name": "MATIN",
"authorized_official_first_name": "KAVEH",
"authorized_official_title_or_position": "PRESIDENT / AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "714-619-4730",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0059140",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ40419Z",
"state": "CA"
}
],
"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 Feb 19, 2015; 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.