Socal Anesthsia Consultants Medical Group, Inc.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SOCAL ANESTHSIA CONSULTANTS MEDICAL GROUP, INC.

Practice address

1420 S Central Ave
Glendale, CA 91204-2508

Phone

(818) 502-1900

Fax

(818) 502-4738

NPI assigned

May 12, 2008

Last updated

Oct 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carlos A. Rico, M.D.NPI 1629091038

Title

President

Phone

(626) 795-6596

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Carlos Alberto Rico, M.D.

  • Anesthesiology Physician
  • Boynton Beach, FL
  • NPI 1629091038
  NPD Authorized official

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1467629238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60790",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911166790",
            "telephone_number": "626-795-6596",
            "fax_number": "626-795-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042508",
            "telephone_number": "818-502-1900",
            "fax_number": "818-502-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL ANESTHSIA CONSULTANTS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "RICO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-795-6596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ54894Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Snyder
• Jeong Ho So, PHARMD
• Stephanie So
• Katerina Sobevska
• Socal Anestesia Inc
• Socal Home Health, Inc.
• Socal Hospice Services, Inc.
• Socal Integrated Care, Inc
• Socal Med
• Socal Med Home Health Services, Inc.

• Anesthesiology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.