Portola Anesthesia Services, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

PORTOLA ANESTHESIA SERVICES, LLC

Practice address

27758 Santa Margarita Pkwy
Suite 364
Mission Viejo, CA 92691-6709

Phone

(949) 716-2726

Fax

(949) 716-2892

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Les Atterbury, MD

Title

Medical Director

Phone

(949) 716-2726

Specialties & licenses 1

Addresses

Tax ID family

Portola Anesthesia Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Portola Anesthesia Services LLC

  • Medical Specialty Clinic/Center
  • Lake Forest, CA
  • NPI 1700103223
  NPD tax ID

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366510976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27758 SANTA MARGARITA PKWY",
            "address_2": "SUITE 364",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916709",
            "telephone_number": "949-716-2726",
            "fax_number": "949-716-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27758 SANTA MARGARITA PKWY",
            "address_2": "SUITE 364",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916709",
            "telephone_number": "949-716-2726",
            "fax_number": "949-716-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTOLA ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ATTERBURY",
        "authorized_official_first_name": "LES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-716-2726",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel R Ponticiello, MD
• Susan Ho Poon, D.C.
• Stephanie Marie Porras, PSYD
• Marissa Porraz
• Karla Melissa Portillo, LPCC
• Marvin Posner, M.D.
• Pour Monajem Zadeh Dental Mission Viejo Inc
• Deborah Jo Powers Neighbors, LMFT
• Donald J Pratt, M.D.
• Stephen James Pratt, MA, MFT

• Anesthesiology Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.