NPIMap

Organization Active NPI

Concierge Anesthesia

  • Anesthesiology Physician
  • Thousand Oaks, CA
National Provider Identifier
1447726997
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 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
Last updated
Dec 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Mr. Shaun Lea, CRNANPI 1245570035
Title
President
Phone
(310) 792-3914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

136 W Branch St
Arroyo Grande, CA 93420

3939 3rd Ave
#O
San Diego, CA 92103

41900 Winchester Rd
Temecula, CA 92590

3805 Telegraph Rd
Ventura, CA 93003
Phone (805) 644-9001

699 Hampshire Rd
Ste 100
Westlake Vlg, CA 91361

Practitioners & affiliated clinicians

Practitioners 55

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.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1447726997",
    "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": "3180 WILLOW LN STE 118",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913614986",
            "telephone_number": "805-870-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "LEA",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-792-3914",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.