Active NPI
Sandman Anesthesia Consultants PC
- Anesthesiology Physician
- Redondo Beach, CA
National Provider Identifier
1467089300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- SANDMAN ANESTHESIA CONSULTANTS PC
- Practice address
- 514 N Prospect Ave Ste 100
Redondo Beach, CA 90277-3036 - Phone
- (310) 376-2707
- NPI assigned
- Mar 23, 2020
- 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
- Macantoine Louis-Jacques, MD
- Title
- Owner
- Phone
- (209) 956-7725
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Pain Medicine Physician | 208VP0000X | |||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
514 N Prospect Ave Ste 100
Redondo Beach, CA 90277-3036
Mailing address
PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725
Other practice location 1
717 S Alvernon Way
Tucson, AZ 85711-5351
Phone (209) 956-7725
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651622400000",
"number": "1467089300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7096",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952670096",
"telephone_number": "209-956-7725",
"fax_number": "209-956-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 N PROSPECT AVE STE 100",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902773036",
"telephone_number": "310-376-2707"
}
],
"practiceLocations": [
{
"address_1": "717 S Alvernon Way",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857115351",
"country_code": "US",
"telephone_number": "209-956-7725",
"fax_number": "623-218-1215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SANDMAN ANESTHESIA CONSULTANTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-23",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A",
"authorized_official_last_name": "LOUIS-JACQUES",
"authorized_official_first_name": "MACANTOINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-956-7725",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.