Active NPI
Pga Anesthesia Inc
- Certified Registered Nurse Anesthetist
- Van Nuys, CA
National Provider Identifier
1407565476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- PGA ANESTHESIA INC
- Practice address
- 15243 Vanowen St Ste 202
Van Nuys, CA 91405-3645 - Phone
- (818) 781-2020
- NPI assigned
- Nov 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul Anamos, CRNA
- Title
- President
- Phone
- (310) 792-3914
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
15243 Vanowen St Ste 202
Van Nuys, CA 91405-3645
Mailing address
PO Box 3129
Torrance, CA 90510-3129
Phone (310) 792-3914
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668729600000",
"number": "1407565476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3129",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905103129",
"telephone_number": "310-792-3914",
"fax_number": "855-898-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15243 VANOWEN ST STE 202",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053645",
"telephone_number": "818-781-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PGA ANESTHESIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-18",
"last_updated": "2022-11-18",
"certification_date": "2022-09-19",
"status": "A",
"authorized_official_last_name": "ANAMOS",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-792-3914",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.