Organization Active NPI

Advanced Airway Concepts Inc

  • Anesthesiology Physician
  • Laguna Woods, CA
National Provider Identifier
1386305985
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ADVANCED AIRWAY CONCEPTS INC
Practice address
24338 El Toro Rd
Suite E-104
Laguna Woods, CA 92637-2776
Phone
(949) 280-6497
Fax
(949) 613-7441
NPI assigned
Jan 5, 2022
Last updated
Jan 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Stephen Garber, MD
Title
Ceo / President
Phone
(949) 280-6497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

24338 El Toro Rd
Suite E-104
Laguna Woods, CA 92637-2776

Mailing address

5 Holland
Suite 101
Irvine, CA 92618-2568
Phone (949) 588-2190

National Provider Directory

National Provider Directory

Locations

24338 El Toro Rd
Ste E104
Laguna Woods, CA 92637
Phone (949) 280-6497

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1386305985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HOLLAND",
            "address_2": "SUITE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182568",
            "telephone_number": "949-588-2190",
            "fax_number": "949-588-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24338 EL TORO RD",
            "address_2": "SUITE E-104",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372776",
            "telephone_number": "949-280-6497",
            "fax_number": "949-613-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED AIRWAY CONCEPTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "GARBER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "949-280-6497",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Woods, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.