Organization Active NPI

An Anesthesia and Pain Management Medical Corporation

  • Pain Medicine (Anesthesiology) Physician
  • Benicia, CA
National Provider Identifier
1376596650
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
AN ANESTHESIA AND PAIN MANAGEMENT MEDICAL CORPORATION
Practice address
1208 E 5TH St
Suite 300
Benicia, CA 94510-3502
Phone
(707) 748-7248
Fax
(707) 745-9076
NPI assigned
May 18, 2006
Last updated
Dec 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Mr. Arun Anand, MDNPI 1578521050
Title
President
Phone
(707) 745-3112

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X Primary

Addresses

Primary practice location

1208 E 5TH St
Suite 300
Benicia, CA 94510-3502

Mailing address

PO Box 5668
Walnut Creek, CA 94596-1668
Phone (707) 745-3112

Other identifiers 3

IdentifierTypeStateIssuer
ZZZ02512ZOtherCABLUE SHIELD
197547100OtherCAUS DEPT OF LABOR
GR0090670MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090116000011 CA Part B Supplier - Clinic/Group Practice 9638232747 Receives reassigned benefits from 2 practitioners
Practice locations: Benicia, CA; Walnut Creek, CA

National Provider Directory

National Provider Directory
Tax ID family
An Anesthesia and Pain Management Medical Corporation2 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.

Locations

1208 E 5th St
Fl 3
Benicia, CA 94510
Phone (707) 748-7248

1700 San Pablo Ave
Ste C
Pinole, CA 94564
Phone (510) 724-9500

Practitioners & affiliated clinicians

Practitioners 2

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1376596650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5668",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945961668",
            "telephone_number": "707-745-3112",
            "fax_number": "707-745-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E 5TH ST",
            "address_2": "SUITE 300",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103502",
            "telephone_number": "707-748-7248",
            "fax_number": "707-745-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN ANESTHESIA AND PAIN MANAGEMENT MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "ANAND",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-745-3112",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ02512Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "197547100",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benicia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.