Organization Active NPI

Skye Anesthesia, a Nursing Corporation

  • Certified Registered Nurse Anesthetist
  • Long Beach, CA
National Provider Identifier
1386912376
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3434 Issued in CA
Legal business name
SKYE ANESTHESIA, A NURSING CORPORATION
Practice address
1127 Loma Ave
Long Beach, CA 90804-4008
Phone
(855) 759-3633
Fax
(855) 759-3633
NPI assigned
Dec 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
Robert Todd Stewart, CRNA
Title
President
Phone
(855) 759-3633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 3434 CA Primary

Addresses

Primary practice location

1127 Loma Ave
Long Beach, CA 90804-4008

Mailing address

1127 Loma Ave
Long Beach, CA 90804-4008
Phone (855) 759-3633

National Provider Directory

National Provider Directory

Locations

1127 Loma Ave
Ste B
Long Beach, CA 90804

1127 Loma Ave
Long Beach, CA 90804
Phone (855) 759-3633

2557 Pacific Coast Hwy
Torrance, CA 90505
Phone (310) 402-2314

13132 Newport Ave
Tustin, CA 92780
Phone (714) 565-7960

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1386912376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 LOMA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044008",
            "telephone_number": "855-759-3633",
            "fax_number": "855-759-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 LOMA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044008",
            "telephone_number": "855-759-3633",
            "fax_number": "855-759-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYE ANESTHESIA, A NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-759-3633",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "3434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.