Individual provider Active NPI

Alva T Verde, MD

  • Anesthesiology Physician
  • Anaheim, CA
National Provider Identifier
1366493280
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A37885 Issued in CA
Practice address
1025 S Anaheim Blvd
Anaheim, CA 92805-5806
Phone
(714) 583-2848
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A37885 CA Primary

Addresses

Primary practice location

1025 S Anaheim Blvd
Anaheim, CA 92805-5806

Mailing address

PO Box 4030
Fullerton, CA 92834-4030
Phone (714) 992-4444

Other identifiers 1

IdentifierTypeStateIssuer
00A378851MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060215000761 CA Practitioner - Anesthesiology 7517972334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Specialists of Orange County IncGroup PAC ID 9830289388, 16 clinicians

Practice addresses (Care Compare)

1111 W la Palma Ave
Anaheim, CA 92801-2804
Phone (714) 774-1450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A37885CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Specialists of Orange County, Inc. Anesthesiology CurrentSince Oct 1, 2007 Accepting new patients
Gary Chinghuei Kao MD Inc Anesthesiology Past Accepting new patients
Pacwest Anesthesia Medical Group, Inc Anesthesiology Past Accepting new patients

Locations

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

875 N Brea Blvd
Brea, CA 92821
Phone (714) 529-6842

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

200 Hospital Cir
Westminster, CA 92683
Phone (714) 386-9043

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1366493280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4030",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928344030",
            "telephone_number": "714-992-4444",
            "fax_number": "714-879-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S ANAHEIM BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055806",
            "telephone_number": "714-583-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDE",
        "first_name": "ALVA",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A37885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A378851",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.