Organization Active NPI

R-S Anesthesia Medical Group, Inc.

  • Anesthesiology Physician
  • Santa Monica, CA
National Provider Identifier
1396815841
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A26005 Issued in CA
Legal business name
R-S ANESTHESIA MEDICAL GROUP, INC.
Practice address
1301 20TH St
Santa Monica, CA 90404-2050
Phone
(310) 315-0222
Fax
(310) 828-8852
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Dr. Terry A. Reichelderfer, M.D.NPI 1992818736
Title
President
Phone
(818) 344-2545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X A26005 CA Primary

Addresses

Primary practice location

1301 20TH St
Santa Monica, CA 90404-2050

Mailing address

PO Box 572426
Tarzana, CA 91357-2426
Phone (818) 344-2545

Other identifiers 1

IdentifierTypeStateIssuer
A26005OtherCASTATE LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

120 S Spalding Dr
Ste 205
Beverly Hills, CA 90212
Phone (310) 273-8002

1301 20th St
Ste 420
Santa Monica, CA 90404
Phone (310) 829-0391

425 Haaland Dr
Ste 100
Thousand Oaks, CA 91361
Phone (805) 230-1093

Practitioners & affiliated clinicians

Practitioners 3

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1396815841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 572426",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913572426",
            "telephone_number": "818-344-2545",
            "fax_number": "818-757-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042050",
            "telephone_number": "310-315-0222",
            "fax_number": "310-828-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R-S ANESTHESIA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "REICHELDERFER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-344-2545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A26005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "A26005",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.