NPIMap

Organization Active NPI

Crystal Terry

Doing business as Island Anesthesia Associates

  • Anesthesiology Physician
  • Alameda, CA
National Provider Identifier
1346388626
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CRYSTAL TERRY
Doing business as
Island Anesthesia Associates
Practice address
2070 Clinton Ave
Alameda, CA 94501-4320
Phone
(510) 522-3700
Fax
(510) 293-8710
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Dr. Crystal D. Terry, M.D.NPI 1609914712
Title
President
Phone
(510) 522-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2070 Clinton Ave
Alameda, CA 94501-4320

Mailing address

6963 Buckingham Blvd
Berkeley, CA 94705-1710
Phone (510) 910-1081

Other names 1

  • Island Anesthesia Associates Doing business as

National Provider Directory

National Provider Directory

Locations

365 Lennon Ln
Ste 100
Walnut Creek, CA 94598
Phone (925) 929-4600

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1346388626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6963 BUCKINGHAM BLVD",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051710",
            "telephone_number": "510-910-1081",
            "fax_number": "510-814-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 CLINTON AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014320",
            "telephone_number": "510-522-3700",
            "fax_number": "510-293-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL TERRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-522-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Anesthesia Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Island Anesthesia Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.