Concierge Anesthesia
Organization Active NPI Anesthesiology Physician · Thousand Oaks, CA
NPI 1447726997 · NPPES record last updated Dec 13, 2023
Key facts
- NPI
- 1447726997
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- CONCIERGE ANESTHESIA
- Practice address
- 3180 Willow LN Ste 118
Thousand Oaks, CA 91361-4986 - Phone
- (805) 870-9482
- NPI assigned
- Oct 22, 2018
- Organization subpart
- No
Authorized official
- Name
- Mr. Shaun Lea, CRNA
- Title
- President
- Phone
- (310) 792-3914
Practitioners 54
-
Melissa Ann Baxter, CRNA
-
Jo Bcharvey, CRNA
-
Le Li, CRNA
-
Seth Lewis Miller, CRNA
-
Kenneth James Oakes, CRNA
-
Cory Daniel Ott, CRNA
-
Xuan Ha Thi Pham, CRNA
-
Jessie Rellosa, CRNA
-
Jill E Renfro, CRNA
-
Via Geronga Tan, CRNA
-
Dana Yakobian, CRNA
-
Hannah Zentner, CRNA
-
Nathan Gonzalez, CRNA
-
Ashley G Edwards, CRNA
-
Shaun Michael Lea, CRNA
-
Nora Stone, CRNA
-
Joana Mina Amparo, CRNA
-
Louie Amparo, CRNA
-
Joseph Michael Appleget, CRNA
-
Emily Tessa Carl, DNP-A
-
Jason Wyatt Cole, CRNA
-
Scott Tyler Demar, CRNA
-
Katherine Ann Froehlich, DNAP, RN, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201229003177 | CA | Part B Supplier - Clinic/Group Practice | 7012320500 |
Receives reassigned benefits from 52 practitioners Practice locations: San Luis Obispo, CA; Westlake Village, CA; Ventura, CA; Thousand Oaks, CA; Santa Maria, CA; San Diego, CA; Escondido, CA; Chula Vista, CA |
National Provider Directory
Locations
835 Third Ave
Chula Vista, CA 91911
Phone (619) 409-1600
3939 3rd Ave
#O
San Diego, CA 92103
699 Hampshire Rd
Ste 100
Westlake Vlg, CA 91361
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
3180 Willow LN Ste 118
Thousand Oaks, CA 91361-4986
Mailing address
PO Box 3129
Torrance, CA 90510-3129
Phone (310) 792-3914
Other providers in Thousand Oaks, CA
- Complete Care Home Health, Inc
- Complete Performance Sports Medicine and Longevity Center, Inc
- Comprehensive Pain Institute Inc
- Comprehensive Pain Institute, Inc
- Frank Edward Conaway Jr.
- Sean Condon
- Conejo Anesthesia
- Conejo Dermatology Medical Group
- Conejo Los Robles Anesthesiology Medical Group, Inc.
- Conejo Medical & Beast Care Center
All providers in Thousand Oaks, CA · Anesthesiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.